Individual
DR. MICHAEL B HIMLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
380 S 1530 E, 502, SALT LAKE CITY, UT 84112-0259
(801) 581-7529
Mailing address
380 S 1530 E, PSYCHOLOGY #502, SALT LAKE CITY, UT 84112-0259
(801) 581-7529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7524525-2501
UT
Other
Enumeration date
06/30/2010
Last updated
05/31/2012
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