Individual
TESSA NICOLE SALISBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
170 E 300 S, SALEM, UT 84653-9453
(801) 529-6002
Mailing address
170 E 300 S, SUITE 2B2, SALEM, UT 84653-9453
(801) 529-6002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9165158-2504
UT
Other
Enumeration date
06/29/2010
Last updated
08/24/2015
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