Individual
PROF. GORDON J CHELUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
650 KOMAS DR., STE 106A, UNIVERSITY OF UTAH, SALT LAKE CITY, UT 84108-1225
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6126050-2501
UT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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