Organization
DAVID B TATE PHD LLC
Active
Organization
DAVID B TATE PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRENT TATE PHD (OWNER)
(435) 656-0506
Entity
Organization
Contact information
Practice address
321 N MALL DR, SUITE I-201, ST GEORGE, UT 84790-7323
(435) 656-0506
(435) 272-4009
Mailing address
321 N MALL DR, SUITE I-201, ST GEORGE, UT 84790-7323
(435) 656-0506
(435) 272-4009
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2891262501
UT
Other
Enumeration date
11/03/2016
Last updated
11/10/2016
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