Organization
UTAH STATE UNIVERSITY
Active
Parent organization
UTAH STATE UNIVERSIRY
Other names
USU Psychology Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTAH STATE UNIVERSIRY
Authorized official
SUE REEDER (BILLING LEAD)
(435) 797-1346
Entity
Organization
Contact information
Practice address
2810 OLD MAIN HL, LOGAN, UT 84322
(435) 797-3401
(435) 797-1448
Mailing address
6405 OLD MAIN HL, LOGAN, UT 84322-6405
(435) 797-1346
(435) 797-1448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/12/2007
Last updated
06/08/2018
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