| NPI | 1942422001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAM VARLEY ROE President Owner 801-229-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 751076212501) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |