Individual
ALICE MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 E SOUTH TEMPLE STE 175, SALT LAKE CITY, UT 84111-1241
(801) 683-1062
Mailing address
370 E SOUTH TEMPLE STE 175, SALT LAKE CITY, UT 84111-1241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12488212-2501
UT
Other
Enumeration date
07/13/2021
Last updated
07/17/2023
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