Utah State University

NPI #1174694095 in Logan, Utah

Provider Information

NPI Number: 1174694095
Entity Type: Organization
Organization Name: Utah State University
Subpart: Yes (part of a larger organization)
Parent Organization: UTAH STATE UNIVERSITY
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Nov 13, 2006
Last Updated: Aug 28, 2018

Practice Location

Address: 6802 OLD MAIN HILL
City: Logan
State: Utah
ZIP Code: 84322-6802
Phone: (435) 797-2750

Authorized Official

Name: KATHRYN CLEMENTS
Title: FINANCIAL OFFICER
Phone: (435) 797-5830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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