NPI | 1245437235 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA T. LIEBRODER President 801-263-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 108503-2501) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-08-22 |