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DOROTHEE LELIA SERPAS PH.D.

Clinical Neuropsychologist

Holladay, Utah

Provider NPI: 1649358201

Provider Information:
 DOROTHEE LELIA SERPAS PH.D.
Gender: F
Sole Proprietor


Practice Location:
2040 MURRAY HOLLADAY RD SUITE 211 HOLLADAY, UT 84117 US
Tel: 801-272-5083  Fax: --

Business Mailing Address:
1088 CLIFF SIDE CT  SANDY, UT 84094 US
Tel: 801-272-5083  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
UT345818-2501

Other Provider Identifiers:

IssuerNumberStateType
VENDOR NUMBER475451UT01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS UT - Page 1



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