Individual
DANIEL MARK SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
166 N 300 W, SUITE 1, ST GEORGE, UT 84770-2770
(435) 862-8273
(435) 275-4256
Mailing address
166 N 300 W, SUITE 1, ST GEORGE, UT 84770-2770
(435) 862-8273
(435) 275-4256
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
317584-2501
UT
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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