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 |