Utah State University

NPI #1811058076 in Logan, Utah

Provider Information

NPI Number: 1811058076
Entity Type: Organization
Organization Name: Utah State University
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 12, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: MS. KATHY J. RECK
Title: OFFICE MANAGER
Phone: (435) 797-2032

Specialties & Taxonomy Codes

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

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