Individual
DALE SHERMAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
410 CHIPETA WAY, SUITE 221, SALT LAKE CITY, UT 84108-1270
(801) 581-5864
(801) 585-5194
Mailing address
410 CHIPETA WAY, SUITE 221, SALT LAKE CITY, UT 84108-1270
(801) 581-5864
(801) 585-5194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1058162501
UT
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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