Organization
BEALL PSYCHOLOGICAL SERVICES PC
Active
Organization
BEALL PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DALTON BEALL PH,D. (DIRECTOR/PRESIDENT)
(801) 897-5474
Entity
Organization
Contact information
Practice address
32 W WINCHESTER ST, SUITE 101, SALT LAKE CITY, UT 84107-5607
(801) 897-5474
Mailing address
PO BOX 902650, SANDY, UT 84090-2650
(801) 897-5474
(801) 263-6370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
270228-2501
UT
Other
Enumeration date
09/20/2010
Last updated
08/15/2022
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