MARY JANN DEWITT


Address: 1104 E Ashton Ave Ste 108, Salt Lake City, UT 84106-2348
Phone: 8015104547

MARY JANN DEWITT (NPI# 1730149295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730149295
Entity Type Individual
Full Name MARY JANN DEWITT
Credential PHD
Practice Address 1104 E Ashton Ave Ste 108
Salt Lake City
UT 84106-2348
Mailing Address 22 W 1800 S
Bountiful
UT 84010-5243
Practice Telephone 8015104547
Mailing Telephone 8012968408
Enumeration Date 2006-03-27
Last Update Date 2018-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
308921-2501 UT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT D1487 05

Other Providers MARY DEWITT

NPI Name Taxonomy Address Enumeration
1801083936 Mary Catherine Dewitt Occupational Therapy Assistant 4559 Lotus Dr, Dayton, OH 45427-3537 2007-10-02
1548716368 Mary Dewitt Social Worker 208 Providence Mine Rd Ste 122, Nevada City, CA 95959-2955 2016-08-31
1255410767 Mary Helen Dewitt Occupational Therapy Assistant 1530 3rd St, Suite 211, Lincoln, CA 95648-1562 2006-11-03
1215938816 Mary Lou Dewitt Counselor 2811 Linkhorne Dr, Ste B, Lynchburg, VA 24503-3321 2005-08-03

Office Location

Street Address 1104 E ASHTON AVE STE 108
City SALT LAKE CITY
State UT
Zip Code 84106-2348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083125694 Mary Jann Dewitt LLC Psychologist 1104 E Ashton Ave Ste 108, Salt Lake City, UT 84106-2348 2017-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1558919142 University of Utah Pharmacy 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 2019-08-28
1588174064 Aaron Potts Naturopath 1945 1100 E, #100, Salt Lake City, UT 84106 2017-10-10
1801335005 Gretchen Dennison Nurse Practitioner 2138 S Highland Dr, Salt Lake City, UT 84106 2017-02-21
1376095794 Jeannette Daneals Naturopath 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 2016-11-02
1073908703 Tracey Steinmetz Massage Therapist 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 2015-03-31
1275949091 Amy Deforest Edwards Counselor Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 2014-07-02
1194138636 Hillary Lowe Taggart Nurse Practitioner 3369 S Highland Dr, Salt Lake City, UT 84106 2014-06-03
1487086617 Herald R. Clark, Dds Dentist 3643 S. Highland Drive, Salt Lake City, UT 84106 2013-07-30
Find all providers in zip 84106

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780230433 Carolynne Elizabeth Baron Psychologist Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 2019-08-16
1083133938 Dio Turner II Psychologist 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 2017-09-12
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1205202355 Laura Rowley Psychologist 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 2015-08-12
1275916223 Amy Bonifay Russell Psychologist 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 2015-07-08
1952710071 The Pearce Institute of Child and Family Psychology, LLC Psychologist 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 2014-08-04
1053728105 Margaret Ruth Moore Psychologist 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 2014-07-21
1316360225 Amanda Lorraine Rapacz Psychologist 239 E Belmont Ave, Salt Lake City, UT 84111-4619 2014-01-28
1134566904 Allison Marie Smith Psychologist 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 2013-06-03
1558611970 New Life Balance, LLC Psychologist 2689 S Highland Dr, Salt Lake City, UT 84106-2774 2012-09-13
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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