Chelsea Carson

Individual provider Active NPI Clinical Psychologist · Salt Lake City, UT

NPI 1134875537 · NPPES record last updated Aug 21, 2024

Key facts

NPI
1134875537
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
13157235-2501 (UT)
Practice address
240 Morris Ave Ste 110
Salt Lake City, UT 84115-3277
Phone
(801) 935-4171
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13157235-2501UTMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 13157235-2501 UT Yes

Addresses

Primary practice location

240 Morris Ave Ste 110
Salt Lake City, UT 84115-3277

Mailing address

727 E 600 S Apt 329
Salt Lake City, UT 84102-4905
Phone (972) 750-2671

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Clinical Psychologist in Utah

Sources for this page

Verify at the official NPI Registry.