Individual
PATRICIA WOLLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S 400 E, SALT LAKE CITY, UT 84111-2905
(801) 582-5534
Mailing address
350 S 400 E, SALT LAKE CITY, UT 84111-2905
(801) 582-5534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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