Individual
DR. EARL SEEGRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1201 DOUGLAS CIR, SOUTH JORDAN, UT 84095-9267
(801) 671-5254
Mailing address
1201 DOUGLAS CIR, SOUTH JORDAN, UT 84095-9267
(801) 671-5254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4809331-2501
UT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4809331-2501
UT
103TA0700X
Adult Development & Aging Psychologist
4809331-2501
UT
103TB0200X
Cognitive & Behavioral Psychologist
4809331-2501
UT
103TC0700X
Clinical Psychologist
4809331-2501
UT
103TC1900X
Counseling Psychologist
4809331-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4809331-2501
UT
103TE1100X
Exercise & Sports Psychologist
4809331-2501
UT
103TF0000X
Family Psychologist
4809331-2501
UT
103TF0200X
Forensic Psychologist
4809331-2501
UT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4809331-2501
UT
103TP2701X
Group Psychotherapy Psychologist
4809331-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553174-000
MAGELLAN
—
Enumeration date
04/14/2008
Last updated
06/22/2011
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