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

Dr. Samuel Robert Stork, PSYD

Individual provider Clinical Psychologist · NPI 1295459485

Dr. Samuel Robert Stork, PSYD is a Clinical Psychologist in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2022
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

500 Foothill Dr
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7198 S Nutree Dr, Cottonwood Heights, UT 84121-4427 — (614) 634-6603

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 12453627-2501 (UT)

Record details

NPI number1295459485
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

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