| NPI | 1952710071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT D. PEARCE Clinical Director 801-901-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 8546756-2501) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |