Individual
ANNE F TAVERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5242 SO. 4820 W., THE CHILDREN'S CENTER, SLC, UT 84118-6422
(801) 966-4251
Mailing address
5242 SO. 4820 W., THE CHILDREN'S CENTER, SLC, UT 84118-6422
(801) 966-4251
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
363423-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780858662
NPI
UT
Enumeration date
04/22/2008
Last updated
09/17/2009
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