Individual
STEPHEN BRAUN TUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7309 11TH ST BLDG 545, HILL AIR FORCE BASE, UT 84056-5012
(801) 777-7909
Mailing address
1920 N 2050 E, LAYTON, UT 84040-2300
(801) 593-6179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
334
SD
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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