Katherine Havlik, PhD, LP
Psychologist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1164089520
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1164089520
- Entity type
- Individual (NPI-1)
- Name
- Katherine Havlik
- Credential
- PhD, LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2019
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 12015949-2501 | UT | Yes |
Practice location
501 S Chipeta WaySalt Lake City, UT 84108-1222
Phone 801-583-2500
Mailing address
501 S Chipeta WaySalt Lake City, UT 84108-1222
Phone 015-832-5008
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