Utah State University

NPI #1386776730 in Logan, Utah

Provider Information

NPI Number: 1386776730
Entity Type: Organization
Organization Name: Utah State University
Subpart: Yes (part of a larger organization)
Parent Organization: UTAH STATE UNIVERSIRY
Primary Specialty: Psychologist
Enumeration Date: Mar 12, 2007
Last Updated: Jun 8, 2018

Practice Location

Address: 2810 OLD MAIN HL
City: Logan
State: Utah
ZIP Code: 84322
Phone: (435) 797-3401

Authorized Official

Name: SUE REEDER
Title: BILLING LEAD
Phone: (435) 797-1346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X	Primary

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