Mrs Autumn Seraphina Talbott-cisneros, MS - Psychologist in South Salt Lake, UT

Mrs Autumn Seraphina Talbott-cisneros, MS is a Psychologist - School based in South Salt Lake, Utah. Mrs Autumn Seraphina Talbott-cisneros is licensed to practice in Utah (license number 734604) and her current practice location is 2500 S State St, South Salt Lake, Utah. She can be reached at her office (for appointments etc.) via phone at (385) 646-5000.

NPI number for Mrs Autumn Seraphina Talbott-cisneros is 1124766142 and her current mailing address is 2562 E 3210 S, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124766142.

Contact Information

Mrs Autumn Seraphina Talbott-cisneros, MS
2500 S State St,
South Salt Lake, UT 84115-3164
(385) 646-5000
Not Available



Healthcare Provider's Profile

Full NameMrs Autumn Seraphina Talbott-cisneros
GenderFemale
SpecialityPsychologist - School
Location2500 S State St, South Salt Lake, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124766142
  • Provider Enumeration Date: 05/20/2022
  • Last Update Date: 05/20/2022

Medical Identifiers

Medical identifiers for Mrs Autumn Seraphina Talbott-cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124766142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 734604 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Autumn Seraphina Talbott-cisneros is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Autumn Seraphina Talbott-cisneros, MS
2562 E 3210 S,
Salt Lake City, UT 84109-2750

Ph: (435) 640-1821
Mrs Autumn Seraphina Talbott-cisneros, MS
2500 S State St,
South Salt Lake, UT 84115-3164

Ph: (385) 646-5000

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› Verified 1 days ago


Psychologist in South Salt Lake, UT

Dr. Victoria Rose Hatton, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2500 S State St, South Salt Lake, UT 84115
Phone: 385-646-5000    
Nicole Feigt, ED.S, MS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2500 S State St, South Salt Lake, UT 84115
Phone: 385-646-5000    
Chloe Ruebeck Marr,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2500 S State St, South Salt Lake, UT 84115
Phone: 385-646-8240    
Heather Elise Creel,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2500 S State St, South Salt Lake, UT 84115
Phone: 385-646-5000    
Taylor Jackson,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2500 S State St, South Salt Lake, UT 84115
Phone: 385-646-5000    
Bethany Sue Ortiz, EDS, NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2500 S State St, South Salt Lake, UT 84115
Phone: 385-646-1641    

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