Provider Demographics
NPI:1205223849
Name:CORGIAT, DAMON CHRISTOPHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:CHRISTOPHER
Last Name:CORGIAT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 N 1225 E
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-8332
Mailing Address - Country:US
Mailing Address - Phone:801-808-7435
Mailing Address - Fax:
Practice Address - Street 1:1916 LAYTON HILLS PKWY
Practice Address - Street 2:SUITE 190
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5673
Practice Address - Country:US
Practice Address - Phone:801-820-6169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9133595-6010101YM0800X
103G00000X
CAPSY34178103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist