Individual
GARY A GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
266375-2501
UT
Other
Enumeration date
07/31/2006
Last updated
06/06/2016
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