Individual
J QUYEN VU ALEXANDER NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
9823 FOX REST LN, VIENNA, VA 22181-5369
(703) 801-6233
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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