Organization
BRANDON SEGURA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON SEGURA PH.D (PSYCHOLOGIST)
(801) 696-2525
Entity
Organization
Contact information
Practice address
190 S MAIN ST, STE 400, CENTERVILLE, UT 84014-2814
(801) 696-2525
Mailing address
11762 S 1000 E, SANDY, UT 84094-5630
(801) 696-2525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5423955-2501
UT
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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