| NPI | 1457881955 |
|---|---|
| Other Name | NICOLE SHEWEY |
| Entity Type | Organization |
| Authorized Contact | NICOLE MEDINA-SHEWEY Owner 801-850-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2019-01-03 |