Poulsen, Ifan Cassandra

Poulsen, Ifan Cassandra is an sole proprietor health care provider with primary practice located at 6910 S Highland Dr Ste 1 , Cottonwood Heights UT 84121-3061. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Poulsen, Ifan Cassandra can be contacted via phone (801) 935-4171.

Contact Information

Primary practice address
6910 S Highland Dr Ste 1 Cottonwood Heights UT 84121-3061
Phone: (801) 935-4171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Utah

Profile Details

NPI number 1225674872
LBN Legal business name Poulsen, Ifan Cassandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Oct 25th, 2021 - about 3 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.

Request for update

Popular Providers