Individual
DR. KATE KELLER SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1390 S 1100 E, SALT LAKE CITY, UT 84105-2461
(267) 972-7002
Mailing address
1456 S 1000 E, SALT LAKE CITY, UT 84105-2353
(267) 972-7002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
94283162501
UT
Other
Enumeration date
10/07/2008
Last updated
07/21/2022
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