| Nicole Shewey | |
|
8160 S Highland Dr Ste C104 Sandy UT 84093 | |
| (801) 478-5869 | |
| Not Available |
| Full Name | Nicole Shewey |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8160 S Highland Dr Ste C104, Sandy, Utah |
| Authorized Official Name and Position | Nicole Medina-shewey (OWNER) |
| Authorized Official Contact | 8018504382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Shewey Po Box 1348 West Jordan UT 84084-8348 Ph: (801) 850-4382 | Nicole Shewey 8160 S Highland Dr Ste C104 Sandy UT 84093 Ph: (801) 478-5869 |
| NPI Number | 1457881955 |
|---|---|
| Provider Enumeration Date | 06/16/2017 |
| Last Update Date | 01/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457881955 | NPI | - | NPPES |
| 10272073-0160 | Other | UT | BUSINES LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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