NPI 1811058076

Utah State University

Organisation Clinical Psychologist Logan, UT

Practice location

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

Authorised official

Name: Kathy J. Reck
Title: Office Manager
Phone: (435) 797-2032

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 5805022-2501 (UT)

Other Psychologist providers in Utah →

Registry record

NPI: 1811058076
Entity type: Organization
NPI issued: 12 Dec 2006
Record last updated: 22 Aug 2020

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.