Individual
DR. JANICE D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2319 FOOTHILL DR, STE. 275, SALT LAKE CITY, UT 84109-1489
(801) 466-8123
Mailing address
PO BOX 58264, SALT LAKE CITY, UT 84158-0264
(801) 466-8123
(801) 466-8129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
UTAH PSYCHOLOGY 207
UT
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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