Individual
PETER M BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24 M ST, SALT LAKE CITY, UT 84103-3840
(801) 363-9017
(801) 363-9022
Mailing address
24 M ST, SALT LAKE CITY, UT 84103-3840
(801) 363-9017
(801) 363-9022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2771533-2501
UT
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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