MICHAEL SCOTT DEBERARD

LOGAN, UT
NPI1568581056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  50289442501)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- MICHAEL SCOTT DEBERARD PhD, M.S., B.A.
2810 OLD MAIN HL
LOGAN, UT 84322-2810
Phone number: 435-797-3401
Mailing Address
-- MICHAEL SCOTT DEBERARD PhD, M.S., B.A.
2810 OLD MAIN HL
LOGAN, UT 84322-2810
Phone number: 435-797-3401
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