Stephanie Creekpaum PSY.D.

NPI 1114237765 - Psychologist - 103TC2200X

NPI Details
NPI 1114237765
Gender Female
Enumeration Date 10/18/2010
Last Updated 11/06/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
5770 S 1500 W
TAYLORSVILLE UT, 84123, US
Phone (801) 313-7770
Fax
Business Location
5770 S 1500 W
TAYLORSVILLE UT, 84123, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Michigan
License Number 6301014440
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According to our database, Dr. Stephanie Creekpaum PSY.D. NPI is 1114237765, taxonomy code is 103TC2200X and license number is 6301014440, license state is located at Michigan. Stephanie Creekpaum PSY.D. physically located at 5770 S 1500 W, Taylorsville UT, 84123. NPI Number Stephanie Creekpaum PSY.D. has the Individual type.

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1114237765 NPI number is provided on an as is basis without warranty of any kind. 1114237765 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Creekpaum PSY.D. are for informational purposes only.