Organization
THE PEARCE INSTITUTE OF CHILD AND FAMILY PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT D. PEARCE PSYD (CLINICAL DIRECTOR)
(801) 901-4311
Entity
Organization
Contact information
Practice address
231 E 2100 S, SUITE 203, SALT LAKE CITY, UT 84115-2187
(801) 901-4311
Mailing address
231 E 2100 S, SUITE 203, SALT LAKE CITY, UT 84115-2187
(801) 901-4311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8546756-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8546756-2501
LICENSE
UT
Enumeration date
08/04/2014
Last updated
08/04/2014
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