| NPI | 1841212727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH C. RODGERS Clinical Psychologist 801-943-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 1114662501) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-10-22 |