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 |