| NPI | 1083125694 |
|---|---|
| Former Legal Business Name | JANN DEWITT LLC |
| Entity Type | Organization |
| Authorized Contact | MARY JANN DEWITT Clinical Psychologist 801-510-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 308921-2501) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-03-01 |