Individual
DR. BENJAMIN CONNELL SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1500 WSC, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602-7924
(720) 425-7373
Mailing address
1500 WSC, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602-7924
(720) 425-7373
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8788493-2501
UT
Other
Enumeration date
11/04/2008
Last updated
07/06/2015
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