Organization
BRIAN J TARACENA PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JONES TARACENA PSY.D. (PSYCHOLOGIST)
(435) 654-4037
Entity
Organization
Contact information
Practice address
175 N MAIN ST, HEBER CITY, UT 84032-1606
(435) 654-4037
(435) 654-4077
Mailing address
175 N MAIN ST, HEBER CITY, UT 84032-1606
(435) 654-4037
(435) 654-4077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
49232362501
UT
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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