Organization
OGDEN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PETROVICH PSYD (CLINICAL DIRECTOR)
(801) 505-6545
Entity
Organization
Contact information
Practice address
1186 E 4600 S STE 110, OGDEN, UT 84403-4896
(801) 505-6545
(801) 505-6545
Mailing address
1186 E 4600 S STE 110, OGDEN, UT 84403-4896
(801) 505-6545
(801) 505-6545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
05/16/2022
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