NPIRadar

Michael M. Haderlie, PH.D. Valid NPI

Individual provider · Psychologist · Pleasant Grove, UT

NPI
1013342690
Type
Individual (Type 1)
Primary specialty
Psychologist
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103T00000X
License number
8097827-2501 (UT)
Sex
Male
Sole proprietor
No
Enumerated
2013-09-13
Last updated
2013-09-13
Practice location
233 S. Pleasant Grove Blvd, Suite 203
Pleasant Grove, UT 84062
(801) 785-4622

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