| NPI | 1336215706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL MCAWARD Billing Manager 801-808-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: UT 5844389-2501) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-10-19 |