Organization
A CHILD'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA JEAN REYES PH.D. (OWNER/PSYCHOLOIGST)
(801) 232-5363
Entity
Organization
Contact information
Practice address
4568 S HIGHLAND DR STE 100, SALT LAKE CITY, UT 84117-4234
(801) 232-5363
Mailing address
4568 S HIGHLAND DR STE 100, SALT LAKE CITY, UT 84117-4234
(801) 232-5363
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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