| NPI | 1679540751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN DODGION President 801-281-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 11181) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |