Family Development Center
Psychologist, Clinical in West Jordan, UT. Organization (NPI-2).
NPI number1346354875
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346354875
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Development Center
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 108286-2501 | UT | Yes |
Practice location
8817 Redwood Rd Ste AWest Jordan, UT 84088-9266
Phone 801-748-2270 · Fax 801-748-2271
Mailing address
8817 Redwood Rd Ste AWest Jordan, UT 84088-9266
Phone 801-748-2270 · Fax 801-748-2271
Authorized official
Terry Lee Burnham
Psychologist
8017482270
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