| NPI | 1255662425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT W ANDERSON President/Owner 435-752-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 324469-2501) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |