Individual provider · Type 1 NPI

Kelly Joan Lundberg, PhD

Clinical Psychologist · Salt Lake City, UT

NPI number 1669562278 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Mailing address

PO Box 581079
Salt Lake City, UT 84158-1079

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X116971-2501 (UT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1669562278

Kelly Joan Lundberg, PhD's National Provider Identifier is 1669562278, issued on Oct 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.