Individual
MS. ROUEIDA GHADBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CLINICAL PSYCHOL
Contact information
Practice address
90 EAST 200 NORTH, BEAR RIVER MENTAL HEALTH, LOGAN, UT 84321
(435) 752-0750
(435) 752-7433
Mailing address
358 NORTH GATEWAY DR, #224, PROVIDENCE, UT 84332
(435) 227-0506
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
62139522501
UT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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