Individual
KAY JEANNE KOELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
505 E 200 S, SUITE 303, SALT LAKE CITY, UT 84102-2090
(801) 870-0463
(801) 350-9582
Mailing address
505 E 200 S, SUITE 303, SALT LAKE CITY, UT 84102-2090
(801) 870-0463
(801) 350-9582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
116657-2501
UT
Other
Enumeration date
08/31/2006
Last updated
02/07/2011
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