NPI 1194800888

Gordon J Chelune, PHD

Practitioner Clinical Neuropsychologist Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
Mailing address: 650 Komas Dr., STE 106a University of Utah, Salt Lake City, UT 84108-1225

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6126050-2501 (UT)

Other Clinical Neuropsychologist providers in Utah →

Registry record

NPI: 1194800888
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 8 Jul 2007

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.