Individual
GEN NUMAGUCHI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
198 EAST CENTER STREET, MOAB, UT 84532
(435) 259-6131
(435) 259-5369
Mailing address
PO BOX 867, 105 WEST 100 NORTH, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2625052501
UT
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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