| NPI | 1306119441 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAREN CHECKETTS Licensed Psychologist 801-520-4917  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 5080319-2501)  | 
| Enumeration Date | 2012-02-21 | 
| Last Update Date | 2012-02-21 |