NPI | 1598291395 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT VIRGIL DINDINGER Owner/Clinical Director 801-310-9593 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 84316352501) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |