Aging Clinic of Southern Utah Pllc

NPI #1043091960 in Cedar City, Utah

Provider Information

NPI Number: 1043091960
Entity Type: Organization
Organization Name: Aging Clinic of Southern Utah Pllc
Primary Specialty: Psychologist
Enumeration Date: Oct 6, 2023
Last Updated: Feb 20, 2024

Practice Location

Address: 94 S 300 E
City: Cedar City
State: Utah
ZIP Code: 84720-3318
Phone: (435) 277-0285

Authorized Official

Name: KIRSTEN LEIGH GRAHAM, PHD
Title: OWNER/PROVIDER
Phone: (435) 277-0285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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