| NPI | 1447227731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK K. BURTON Psychologist 801-581-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 49222542501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 3763253501) |
| Enumeration Date | 2006-03-05 |
| Last Update Date | 2020-08-22 |