Organization
PSYCHOLOGY SPECIALISTS OF UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ROBERT EDGINGTON PH.D. (OWNER)
(405) 315-5756
Entity
Organization
Contact information
Practice address
87 N 600 E, CENTERVILLE, UT 84014-2020
(405) 315-5756
Mailing address
87 N 600 E, CENTERVILLE, UT 84014-2020
(405) 315-5756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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