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Individual

DR. SARA MARLENE BOGHOSIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
Mailing address
205 W 500 N, LOGAN, UT 84321-3821
(435) 720-2975

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7980185-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
7980185-2501
UT

Other

Enumeration date
07/22/2015
Last updated
07/22/2015
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