Ellsworth, Melissa
Ellsworth, Melissa is an individual health care provider with primary practice located at 881 W Baxter Dr Ste 100 , South Jordan UT 84095-8506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellsworth, Melissa can be contacted via phone (801) 382-8702.Contact Information
Primary practice address
881 W Baxter Dr Ste 100
South Jordan UT 84095-8506
Phone: (801) 382-8702
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11172768-2501 | Utah |
Profile Details
| NPI number | 1285261230 |
|---|---|
| LBN Legal business name | Ellsworth, Melissa |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Oct 6th, 2020 - about 4 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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