Individual
BRANDON SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
10249 S 2505 E, SANDY, UT 84092-4464
(801) 696-2525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5423955-2501
UT
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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