Individual
GARY G TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1325 W SOUTH JORDAN PKWY, SUITE 101, SOUTH JORDAN, UT 84095-9060
(801) 815-0354
(801) 254-4715
Mailing address
11117 CREEK RIDGE CIR, SOUTH JORDAN, UT 84095-2252
(801) 815-0354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5268263-2501
UT
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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