Brandon Segura
Psychologist in Sandy, UT. Individual provider (NPI-1).
NPI number1548909641
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1548909641
- Entity type
- Individual (NPI-1)
- Name
- Brandon Segura
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2022
- Certification date
- May 27, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 5423955-2501 | UT | Yes |
Practice location
9361 S 300 ESandy, UT 84070-2902
Phone 801-826-5000
Mailing address
10249 S 2505 ESandy, UT 84092-4464
Phone 801-696-2525
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