Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Utah State University

Organization Clinical Psychologist · NPI 1811058076

Utah State University is a Clinical Psychologist in Logan, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006

Practice location Address checks out

2810 Old Main Hl
Logan, UT 84322-2810
Phone: (435) 797-3401
Fax: (435) 797-1448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5805022-2501 (UT)

Record details

NPI number1811058076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Reck — Office Manager · (435) 797-2032
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2810 Old Main Hl, Logan, UT 84322-2810

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