Individual
TERRY LEE BURNHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8817 REDWOOD RD, WEST JORDAN, UT 84088-9271
(801) 748-2270
(801) 748-2271
Mailing address
8817 REDWOOD RD, WEST JORDAN, UT 84088-9266
(801) 748-2270
(801) 748-2271
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
108286-2501
UT
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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