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MARY JANN DEWITT LLC
NPI 1083125694
Psychologist - Clinical in Salt Lake City, UT

Active since October 23, 2017
1104 E ASHTON AVE STE 108, SALT LAKE CITY, UT 84106(801) 510-4547 Get Directions Write a Review

NPPES record last updated: March 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jann Dewitt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANN DEWITT LLC (NPI 1083125694), doing business as Jann Dewitt Llc, is a healthcare organization registered as a clinical in Salt Lake City, Utah and active in the NPI registry since October 2017. The organization lists Mary Jann Dewitt, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1083125694
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARY JANN DEWITT LLC
Location Address1104 E ASHTON AVE STE 108Salt Lake City, UT 84106-2348
Mailing Address1104 E Ashton Ave Ste 108Salt Lake City, UT 84106-2348 · (801) 510-4547
Phone(801) 510-4547
Organization SubpartNo
Authorized OfficialMary Jann DewittClinical Psychologist · (801) 510-4547
Enumeration DateOctober 23, 2017
Last NPPES UpdateMarch 1, 2020
NPPES CertifiedMarch 1, 2020
✔ NPI 1083125694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 308921-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1104 E ASHTON AVE STE 108, Salt Lake City, UT 84106
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Other Names 1

Former Legal Business NameJann Dewitt Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY JANN DEWITT PHD
Psychologist (Clinical)
1104 E ASHTON AVE STE 108
SALT LAKE CITY, UT 84106
Salt Lake County (801) 510-4547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jann Dewitt LLC's NPI number?

The NPI number for Mary Jann Dewitt LLC is 1083125694. It was assigned to this organization in the NPPES registry on October 23, 2017. The provider was formerly known as Jann Dewitt LLC.

Where is Mary Jann Dewitt LLC located?

Mary Jann Dewitt LLC is located at 1104 E Ashton Ave Ste 108, Salt Lake City, UT 84106. The listed phone number is (801) 510-4547.

What is Mary Jann Dewitt LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Jann Dewitt LLC was last updated on March 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.