| NPI | 1396867479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON EINING Office Manager 801-350-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 115392-2501) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-03-26 |