Individual
CAROL GAGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1399 S 700 E, SUITE 15, SALT LAKE CITY, UT 84105-2149
(801) 487-2357
(801) 487-0963
Mailing address
1399 S 700 E, SUITE 15, SALT LAKE CITY, UT 84105-2149
(801) 487-2357
(801) 487-0963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
80-109840-2501
UT
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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