Family Development Center in West Jordan - Clinical

Family Development Center - NPI 1346354875

Family Development Center is a Clinical in West Jordan, Utah. Family Development Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Family Development Center is 1346354875. The last update date is 2020-08-22.

Family Development Center's current location address is 8817 Redwood Rd Ste A, West Jordan, Utah. You can contact this provider via phone number 8017482270 and fax number 8017482271. The mailing address for Family Development Center is 8817 Redwood Rd Ste A, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Development Center
Address 8817 Redwood Rd Ste A, West Jordan, Utah
Phone Number 8017482270
Fax Number 8017482271
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Burnham Lee Terry
Credentials PHD
Telephone Number 8017482270

NPI Number Detail

NPI Number 1346354875
Provider Enumeration Date 2006-08-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 8817 Redwood Rd Ste A
City West Jordan
State Utah (UT)
Post Code 840889266
Phone Number 8017482270
Fax Number 8017482271

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 108286-2501
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52954286702001 UT BCBS OF UTAH

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FAQs about Family Development Center

What is the unique 10-digit identification code assigned to Family Development Center by the Centers for Medicare & Medicaid Services?

The Family Development Center has been issued the NPI (National Provider Identifier) 1346354875, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Family Development Center's facilities are geographically located?

The facilities of Family Development Center are physically situated at the following location: 8817 Redwood Rd Ste A, West Jordan, UT, 840889266.

What is Family Development Center's specialized field of practice, and what is the corresponding taxonomy classification code?

The Family Development Center's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

When was the Family Development Center's 1346354875 issued?

The Family Development Center's 1346354875 was issued on 2006-08-19.

As of what date was the information pertaining to Family Development Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Family Development Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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