Family Development Center | |
8817 Redwood Rd Ste A West Jordan UT 84088-9266 | |
(801) 748-2270 | |
(801) 748-2271 |
Full Name | Family Development Center |
---|---|
Speciality | Psychologist - Clinical |
Location | 8817 Redwood Rd Ste A, West Jordan, Utah |
Authorized Official Name and Position | Terry Lee Burnham (PSYCHOLOGIST) |
Authorized Official Contact | 8017482270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Development Center 8817 Redwood Rd Ste A West Jordan UT 84088-9266 Ph: (801) 748-2270 | Family Development Center 8817 Redwood Rd Ste A West Jordan UT 84088-9266 Ph: (801) 748-2270 |
NPI Number | 1346354875 |
---|---|
Provider Enumeration Date | 08/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346354875 | NPI | - | NPPES |
52954286702001 | Other | UT | BCBS OF UTAH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 108286-2501 (Utah) | Primary |
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