Most Relevant Information
Provider Data
| NPI Number: | 1003698028 |
| Provider Name: | MEGAN WALL |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
464 E 3RD AVE
SALT LAKE CITY
UT
841032967
Practice Location Phone/Fax
| Phone: | 6094625974 |
| Fax: |
Provider Mailing Location
464 E 3RD AVE
SALT LAKE CITY
UT
841032967
Provider Mailing Phone/Fax
| Phone: | 6094625974 |
| Fax: |