KATRINA KWAN


Address: 5171 S Cottonwood St, Ste 810, Murray, UT 84107-5704
Phone: 8015079800

KATRINA KWAN (NPI# 1760727580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760727580
Entity Type Individual
Full Name KATRINA KWAN
Credential PSYD
Practice Address 5171 S Cottonwood St
Ste 810
Murray
UT 84107-5704
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8015079800
Mailing Telephone 8015079800
Enumeration Date 2012-12-05
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 8399166-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 5171 S COTTONWOOD ST
STE 810
City MURRAY
State UT
Zip Code 84107-5704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780201293 Heather Patricia Nick Genetic Counselor, MS 5171 S Cottonwood St, Murray, UT 84107-5704 2020-06-30
1245743640 Brigid A O'donnell Nurse Practitioner 5171 S Cottonwood St, Murray, UT 84107 2017-11-08
1568917664 Amanda Peterson Occupational Therapist 5171 S Cottonwood St, Lower Level 2 Women's Center Coordinated Rehab Services, Murray, UT 84107-5704 2016-08-18
1336590595 Kassie Burton Nurse Practitioner 5171 S Cottonwood St, Ste 740, Murray, UT 84107-5704 2016-06-28
1548636848 Amy Berrigan Nurse Practitioner 5171 S Cottonwood St, Suite 740, Murray, UT 84107-5704 2015-08-20
1487042065 Kimberly Chesney Redford Audiologist 5171 S Cottonwood St, Suite 140, Murray, UT 84107-5704 2015-01-05
1881007508 Janelle Hayes Physical Therapist 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 2014-06-10
1316373087 Ihc Health Services Inc Internal Medicine 5171 S Cottonwood St, Ste 350, Murray, UT 84107-5733 2013-09-25
1376976381 Laura K Heermann Langford Registered Nurse 5171 S Cottonwood St, Suite 220, Murray, UT 84107-5704 2013-08-13
1023459393 Rachelle Jelosek Nurse Practitioner 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 2013-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215239348 Jon Leroy Pertab Clinical Neuropsychologist 5171 South Cottonwood St Suite 810, Neurosciences Institute, Murray, UT 84107 2010-11-22
1215582028 Samantha Allison Clinical Neuropsychologist 5121 S Cottonwood St, Murray, UT 84107-5701 2019-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780215269 Reboot Centers Hobble Creek Clinical Neuropsychologist 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 2020-02-03
1497254304 Ctr Supports Clinical Neuropsychologist 10182 S Campden Ct, South Jordan, UT 84009-7109 2018-02-06
1770954356 Erin Elizabeth Krauskopf Clinical Neuropsychologist 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 2015-10-08
1528469947 Jordan Harris Rigby Clinical Neuropsychologist 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 2014-09-05
1366719601 Joann T. Tschanz Clinical Neuropsychologist 2810 Old Main Hill, Utah State University, Logan, UT 84322-2810 2011-11-30
1649567728 Grace Macdowell Clinical Neuropsychologist 11762 S State St Ste 160, Draper, UT 84020-7174 2011-07-08
1619287208 Lisa Michelle Sugerman Clinical Neuropsychologist 389 W 10000 S Ste A, South Jordan, UT 84095-4104 2010-10-15
1154565729 Keith Mcgoldrick Clinical Neuropsychologist 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 2009-04-27
1356593297 Dustin Bradshaw Hammers Clinical Neuropsychologist 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 2008-10-22
1730301474 Beverly O'connor Clinical Neuropsychologist 533 26th St, Suite 100, Ogden, UT 84401-2465 2007-05-03
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Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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