| NPI | 1881042612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LAMBERT Office Manager 801-350-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 7954817-2501) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |