NPI 1902865595

Child&family Institute for Assessment and Psychotherapy, LLC

Organisation Clinical Neuropsychologist Park City, UT

Practice location

Address: 1910 Prospector Ave Suite 201, Park City, UT 84060-7211
Phone: (435) 645-9240
Fax: (435) 645-9237

Authorised official

Name: Jennifer Santosusso Gale
Title: Owner/Pediatric Neuropsychologist
Phone: (435) 645-9240

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 377761-2501 (UT)

Other Clinical Neuropsychologist providers in Utah →

Registry record

NPI: 1902865595
Entity type: Organization
NPI issued: 21 Mar 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.