Provider First Line Business Practice Location Address:
814 E. BAMBERGER DRIVE SUITE B
Provider Second Line Business Practice Location Address:
PSYCHOLOGICAL ASSESSMENT & TREATMENT SPECIALISTS, INC.
Provider Business Practice Location Address City Name:
AMERICAN FORK
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-772-0202
Provider Business Practice Location Address Fax Number:
801-772-0139
Provider Enumeration Date:
01/19/2007