MARY JANN DEWITT PHD
NPI 1730149295
Psychologist - Clinical in Salt Lake City, UT

Q: What is Mary Dewitt's NPI number?

The NPI number for Mary Dewitt is 1730149295. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Mary Dewitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Dewitt was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 27, 2006

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

NPPES record last updated: July 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Jann Dewitt Phd NPPES

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

MARY JANN DEWITT PHD (NPI 1730149295) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (308921-2501) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1730149295

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARY JANN DEWITTCredential: PHD

Location Address1104 E ASHTON AVE STE 108Salt Lake City, UT 84106

Mailing Address22 W 1800 SBountiful, UT 84010-5243 · (801) 296-8408

Phone(801) 510-4547

Sole ProprietorNo

Enumeration DateMarch 27, 2006

Last NPPES UpdateJuly 7, 2018

✔ NPI 1730149295 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 Identifiers 1

MedicaidD1487UT

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 LLC

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 Dewitt's NPI number?

The NPI number for Mary Dewitt is 1730149295. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Mary Dewitt located?

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

What is Mary Dewitt'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 Dewitt was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.