Ctr Supports
NPI #1497254304 in South Jordan, Utah
Provider Information
- NPI Number
- 1497254304
- Entity Type
- Organization
- Organization Name
- Ctr Supports
- Primary Specialty
- Psychologist - Cognitive & Behavioral
- Enumeration Date
- Feb 6, 2018
- Last Updated
- Feb 6, 2018
Practice Location
- Address
- 10182 S CAMPDEN CT
- City
- South Jordan
- State
- Utah
- ZIP Code
- 84009-7109
- Phone
- (801) 788-4988
Authorized Official
- Name
- COBILYNN R DICKINSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 450-3164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
| Behavior Analyst |
| Psychologist - Clinical — Clinical |
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
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