Provider Demographics
NPI:1598291395
Name:UTAH VALLEY PSYCHOLOGY
Entity Type:Organization
Organization Name:UTAH VALLEY PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:VIRGIL
Authorized Official - Last Name:DINDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-310-9593
Mailing Address - Street 1:568 E 1400 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-7714
Mailing Address - Country:US
Mailing Address - Phone:801-310-9593
Mailing Address - Fax:509-984-2200
Practice Address - Street 1:568 E 1400 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7714
Practice Address - Country:US
Practice Address - Phone:801-310-9593
Practice Address - Fax:509-984-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT84316352501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty