Individual
SAVANNAH JANE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(800) 434-8923
Mailing address
1140 W 1130 S, SUITE B, OREM, UT 84058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
02/22/2025
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