Whalio Doctors

NPI 1154565729

Keith McGoldrick, PHD

Practitioner Clinical Neuropsychologist Salt Lake City, UT

Practice location

Address
1733 S 1100 E STE 102, Salt Lake City, UT 84105-3482
Phone
(801) 486-6632
Fax
(801) 877-9995

Registered specialties (8)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 9524802-2501 (UT)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 9524802-2501 (UT)
Adult Development & Aging Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0700X Licence 9524802-2501 (UT)
Cognitive & Behavioral Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TB0200X Licence 9524802-2501 (UT)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 9524802-2501 (UT)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 9524802-2501 (UT)
Health Service Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TH0100X Licence 9524802-2501 (UT)
Intellectual & Developmental Disabilities Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence 9524802-2501 (UT)

Registry record

NPI
1154565729
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Apr 2009
Record last updated
5 Nov 2019

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.