| NPI | 1922730357 |
|---|---|
| Doing Business As | SLC PSYCH |
| Entity Type | Organization |
| Authorized Contact | BRANDON YABKO Owner/Psychologist 385-355-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |