| NPI | 1598216731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE R. JOHNS Psychologist 435-750-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 1133182501) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |