Individual
DR. CARRIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111-1247
(801) 999-0639
(800) 136-4143
Mailing address
275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111-1247
(801) 999-0639
(800) 136-4143
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
70077562501
UT
Other
Enumeration date
01/18/2007
Last updated
11/13/2009
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