MS. Graca Maria De Oliveira Costa, PSY D

NPI #1134326689 in Logan, Utah

Provider Information

NPI Number: 1134326689
Entity Type: Individual
Name: MS. Graca Maria De Oliveira Costa, PSY D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY D
Enumeration Date: Jun 28, 2007
Last Updated: Jan 23, 2012

Practice Location

Address: 90 E 200 N
City: Logan
State: Utah
ZIP Code: 84321-4034
Phone: (435) 752-0750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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