| 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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