Associated Clinical & Counseling Psychologists
Psychologist, Clinical in Taylorsville, UT. Organization (NPI-2).
NPI number1679540751
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1679540751
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Clinical & Counseling Psychologists
- Organization subpart
- No
- Enumeration date
- Mar 7, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 11181 | UT | Yes |
Practice location
5691 S Redwood RdSuite 15
Taylorsville, UT 84123-5322
Phone 801-281-4084 · Fax 801-281-4083
Mailing address
5691 S Redwood RdSuite 15
Taylorsville, UT 84123-5322
Phone 801-281-4084 · Fax 801-281-4083
Authorized official
David Alan Dodgion
President
8012814084
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