Individual
MICHAEL M. HADERLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
233 S. PLEASANT GROVE BLVD, SUITE 203, PLEASANT GROVE, UT 84062
(801) 785-4622
(801) 785-4623
Mailing address
233 S. PLEASANT GROVE BLVD, SUITE 203, PLEASANT GROVE, UT 84062
(801) 785-4622
(801) 785-4623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8097827-2501
UT
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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