| NPI | 1487768826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED A HARRIS Psychologist 801-265-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 91-116205-2501) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-11-24 |