Organization
SB YAB CO.
Active
Other names
SLC PSYCH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON YABKO PHD (OWNER/PSYCHOLOGIST)
(385) 355-1018
Entity
Organization
Contact information
Practice address
699 E SOUTH TEMPLE STE 300A, SALT LAKE CITY, UT 84102-1188
(385) 355-1018
Mailing address
699 E SOUTH TEMPLE STE 300A, SALT LAKE CITY, UT 84102-1188
(661) 312-9335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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