Individual
DR. GREGORY L. MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4699 HARRISON BLVD, SUITE 300, OGDEN, UT 84403-4396
(801) 479-8286
(801) 479-8247
Mailing address
4699 HARRISON BLVD, SUITE 300, OGDEN, UT 84403-4396
(801) 479-8286
(801) 479-8247
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1160862501
UT
103T00000X
Psychologist
1160862501
UT
103TC0700X
Clinical Psychologist
Primary
1160862501
UT
Other
Enumeration date
10/18/2006
Last updated
10/30/2007
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