Organization
PSYCHOLOGICAL ASSESSMENT & TREATMENT SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M GENTRY PHD (PRESIDENT/EXECUTIVE DIRECTOR)
(801) 772-0202
Entity
Organization
Contact information
Practice address
814 BAMBERGER DR, SUITE B, AMERICAN FORK, UT 84003-2165
(801) 772-0202
(801) 772-0139
Mailing address
814 BAMBERGER DR, SUITE B, AMERICAN FORK, UT 84003-2165
(801) 772-0202
(801) 772-0139
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
276564-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529217859009
—
UT
Enumeration date
10/18/2006
Last updated
08/22/2020
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