| NPI | 1376079566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM SEAMAN Owner 801-318-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 310321-2501) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2017-05-07 |