MR. Juergen Erich Korbanka, PHD

NPI #1386600450 in Provo, Utah

Provider Information

NPI Number: 1386600450
Entity Type: Individual
Name: MR. Juergen Erich Korbanka, PHD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Apr 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 750 NORTH 200 WEST
City: Provo
State: Utah
ZIP Code: 84601
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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