Provider First Line Business Practice Location Address:
1705 CAMPUS CENTER DR RM 327
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EDUCATIONAL PSYCHOLOGY
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84112-9255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-5847
Provider Business Practice Location Address Fax Number:
801-581-5566
Provider Enumeration Date:
03/28/2007