| NPI | 1073059580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE RAE FRAZIER Clinical Psychologist 435-750-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 2797447-2501) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |