Organization
SOUTH DAVIS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN AHERN PH.D. (CLINICAL PSYCHOLOGIST)
(801) 934-3373
Entity
Organization
Contact information
Practice address
240 N EAST PROMONTORY STE 200, FARMINGTON, UT 84025-2950
(801) 934-3373
Mailing address
1155 LAKEVIEW DR, BOUNTIFUL, UT 84010-1909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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