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Individual

DR. COREY MAXWELL GALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1910 PROSPECTOR AVE, SUITE 201, PARK CITY, UT 84060-7211
(801) 230-3205
Mailing address
1910 PROSPECTOR AVE, SUITE 201, PARK CITY, UT 84060-7211
(801) 230-3205

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4986775-2501
UT

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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