Creekpaum, Stephanie

Creekpaum, Stephanie is an sole proprietor health care provider with primary practice located at 5770 S 1500 W , Taylorsville UT 84123. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Creekpaum, Stephanie can be contacted via phone (801) 313-7770.

Contact Information

Primary practice address
5770 S 1500 W Taylorsville UT 84123
Phone: (801) 313-7770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301014440 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 8109989-2501 Utah

Profile Details

NPI number 1114237765
LBN Legal business name Creekpaum, Stephanie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2010
Last updated Nov 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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