| NPI | 1588360119 |
|---|---|
| Doing Business As | SALT LAKE PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | UMA P DORN Clinic Director 385-202-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |