Individual provider · Type 1 NPI

Michael Read Fordham, PhD

Psychologist · Salt Lake City, UT

NPI number 1124119425 Active

Practice location

501 Chipeta Way, Suite 1250
Salt Lake City, UT 84108-1222

Call (801) 587-3208 Map

Fax (801) 585-8410

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X105393-2501 (UT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1124119425

Michael Read Fordham, PhD's National Provider Identifier is 1124119425, issued on Sep 28, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 24, 2008.