Benita Quakenbush-Roberts, PH.D. Valid NPI

Individual provider · Psychologist · Mendon, UT

NPI

1578665626

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

376641-2501 (UT)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-09-01

Last updated

2007-07-08