Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 332378-2501 | UT |
N | 103T00000X | Psychologist | 332378-2501 | UT |
Y | 103G00000X | Clinical Psychologist | 332378-2501 | UT |
Y | 103TC0700X | Clinical Psychologist | 332378-2501 | UT |
NPI | 1013975853 |
---|---|
Provider Name | Dr. Denise D Thornhill |
First Address | Salt Lake City, UT 84107-2182 |
Second Address | Salt Lake City, UT 84107-2182 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 10/04/2009 |