| NPI | 1063627388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY O'CONNOR President 801-621-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 191411-2501) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |