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Contact Information

NOEMI P MATTIS, JD, PHD
299 FEDERAL HEIGHTS CIR
SALT LAKE CITY, UT84103-4491
 Phone: 801-363-4048
 Fax: 801-322-4568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NOEMI P MATTIS · (Female)

NPI Number 1154574127
Status Active
Credentials JD, PHD
Entity Individual
Enumeration date 11/04/2008
Last updated 11/04/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 110430-2501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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