Individual
REBECKA DAWN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
130 N 1700 W, BLACKFOOT, ID 83221-5035
(801) 830-0694
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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