MRS. Autumn Seraphina Talbott-Cisneros, MS

NPI #1124766142 in South Salt Lake, Utah

Provider Information

NPI Number: 1124766142
Entity Type: Individual
Name: MRS. Autumn Seraphina Talbott-Cisneros, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: MS
Enumeration Date: May 20, 2022
Last Updated: May 20, 2022

Practice Location

Address: 2500 S STATE ST
City: South Salt Lake
State: Utah
ZIP Code: 84115-3164
Phone: (385) 646-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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