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Nicole Medina, PSYD
NPI 1235488008 · on the registry since 2012
Practice
- Address
- 5965 S 900 E
Murray, UT 84121 - Phone
- (801) 872-5516
- Organisation at this address
- Ascendant Behavioral Health Llc
Signature Hospice Salt Lake City, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 385
Additional practice sites
- 8160 S Highland Dr Ste C104, Sandy, UT
- 8184 S Highland Dr Ste C-104, Sandy, UT
- 3737 W 4100 S Suite 200, West Valley City, UT
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah