OrganizationActive
Ctr Supports
NPI 1497254304 · Cognitive & Behavioral Psychologist · South Jordan, UT
Provider details
- NPI number
- 1497254304
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cobilynn Dickinson, Executive Director(801) 450-3164
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
10182 S Campden Ct
South Jordan, UT 84009-7109
Phone: (801) 788-4988
Fax: (801) 206-3588
Approximate (ZIP-level) locationGet directions
Mailing address
10182 S Campden Ct
South Jordan, UT 84009-7109
Registry dates
- Enumerated
- 2018-02-06
- Last updated
- 2018-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.