Individual provider · Type 1 NPI

Roueida Ghadban, PHD CLINICAL PSYCHOL

Psychologist · Logan, UT

NPI number 1558452003 Active

Practice location

90 East 200 North, Bear River Mental Health
Logan, UT 84321

Fax (435) 752-7433

Mailing address

358 North Gateway Dr, #224
Providence, UT 84332

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X62139522501 (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 1558452003

Roueida Ghadban, PHD CLINICAL PSYCHOL's National Provider Identifier is 1558452003, issued on Sep 28, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Logan, UT. The record was last updated on Jul 8, 2007.