| NPI | 1962746719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIEN TERESA SMITH Pediatric Neuropsychologist 801-596-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: UT 2740632501) |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2012-12-20 |