Individual
DR. KEITH MCGOLDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1733 S 1100 E STE 102, SALT LAKE CITY, UT 84105-3482
(801) 486-6632
(801) 877-9995
Mailing address
1733 S 1100 E STE 102, SALT LAKE CITY, UT 84105-3482
(801) 486-6632
(801) 877-9995
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
9524802-2501
UT
103T00000X
Psychologist
9524802-2501
UT
103TA0700X
Adult Development & Aging Psychologist
9524802-2501
UT
103TB0200X
Cognitive & Behavioral Psychologist
9524802-2501
UT
103TC0700X
Clinical Psychologist
9524802-2501
UT
103TF0200X
Forensic Psychologist
9524802-2501
UT
103TH0100X
Health Service Psychologist
9524802-2501
UT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
9524802-2501
UT
Other
Enumeration date
04/27/2009
Last updated
11/05/2019
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