NPI 1386776730

Utah State University

Organisation Psychologist Logan, UT

Practice location

Address: 2810 Old Main Hl, Logan, UT 84322
Phone: (435) 797-3401
Fax: (435) 797-1448
Mailing address: 6405 Old Main Hl, Logan, UT 84322-6405

Authorised official

Name: Sue Reeder
Title: Billing Lead
Phone: (435) 797-1346

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Utah →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Clinical Child & Adolescent Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC2200X

Registry record

NPI: 1386776730
Entity type: Organization
NPI issued: 12 Mar 2007
Record last updated: 8 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.