Dr. Stephanie Creekpaum
Clinical Child & Adolescent Psychologist
5770 S 1500 W
Taylorsville
, Utah 84123
Dr. Stephanie Creekpaum
Clinical Child & Adolescent Psychologist
5770 S 1500 W
Taylorsville
, Utah 84123
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Stephanie Creekpaum
- 5770 S 1500 W
- Taylorsville, UT
- Zip : 84123
- Phone :
Second Address
- Dr. Stephanie Creekpaum
- 5770 S 1500 W
- Taylorsville, UT
- Zip : 84123
- Phone : (801) 313-7770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301014440 | MI |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 8109989-2501 | UT |
National Provider Identifier
| NPI | 1114237765 |
|---|---|
| Provider Name | Dr. Stephanie Creekpaum |
| First Address | Taylorsville, UT 84123 |
| Second Address | Taylorsville, UT 84123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2010 |
| Last Update Date | 06/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.