| NPI | 1043484876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GALE Clinical Psychologist 435-645-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 377761-2501) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |