NPI | 1154464741 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN FRANCIS MERRYWEATHER Psychologist 801-272-0394 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: UT 109246-2501) |
Additional Taxonomies | 103T00000X Psychologist (Licence: UT 109053-2501) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2009-04-24 |