Associated Clinical & Counseling Psychologists
Organization Active NPI Clinical Psychologist · Taylorsville, UT
NPI 1679540751 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1679540751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 11181 (UT)
- Legal business name
- ASSOCIATED CLINICAL & COUNSELING PSYCHOLOGISTS
- Practice address
- 5691 S Redwood Rd
Suite 15
Taylorsville, UT 84123-5322 - Phone
- (801) 281-4084
- Fax
- (801) 281-4083
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Alan Dodgion, PH.D.
- Title
- President
- Phone
- (801) 281-4084
Practitioners 9
-
Michael Douglas Brunson, PH.D.
-
Jessica L Coffin, ACMHC
-
David A Dodgion, PH.D.
-
Cathe Madison, LCSW
-
Natalie Jean Malovich, PH.D.
-
Leeann McConnell, LCSW
-
Diane Annette Passey, CPCI
-
Susan A Short, NP
National Provider Directory
Locations
5691 S Redwood Rd
Unit 15
Taylorsville, UT 84123
Phone (801) 281-0060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 11181 | UT | Yes |
Addresses
Primary practice location
5691 S Redwood Rd
Suite 15
Taylorsville, UT 84123-5322
Mailing address
5691 S Redwood Rd
Suite 15
Taylorsville, UT 84123-5322
Phone (801) 281-4084
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All providers in Taylorsville, UT · Clinical Psychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.