SAMUEL ROBERT STORK

SALT LAKE CITY, UT
NPI1295459485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  12453627-2501)
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
Dr. SAMUEL ROBERT STORK Psy.D
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Dr. SAMUEL ROBERT STORK Psy.D
7198 S NUTREE DR
COTTONWOOD HEIGHTS, UT 84121-4427
Phone number: 614-634-6603