Whalio Doctors

NPI 1013342690

Michael M. Haderlie, PHD

Practitioner Psychologist Pleasant Grove, UT

Practice location

Address
233 S. Pleasant Grove Blvd Suite 203, Pleasant Grove, UT 84062
Phone
(801) 785-4622
Fax
(801) 785-4623

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 8097827-2501 (UT)

Registry record

NPI
1013342690
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Sep 2013
Record last updated
13 Sep 2013

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.