Individual
DAVID ALAN ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3703 W 6200 S, SALT LAKE CITY, UT 84118-3749
(801) 963-4200
Mailing address
3703 W 6200 S, SALT LAKE CITY, UT 84118-3749
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
963262352501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
963262352501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107019848101
INTERMTN. HEALTH CARE
UT
01
—
341626
DESERET MUTUAL
UT
01
—
942938348AN3
EDUCATORS MUTUAL
UT
Enumeration date
01/26/2006
Last updated
03/17/2008
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