| NPI | 1427123082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JONES TARACENA Psychologist 435-654-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 49232362501) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |