Ctr Supports is a Counselor Clinic in South Jordan, Utah. It is located at 10182 S Campden Ct, South Jordan, UT and its contact number is 801-788-4988. The authorized person for Ctr Supports is Cobilynn R Dickinson
who is Executive Director of the clinic and his/her contact number is 801-450-3164.
Ctr Supports Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Ctr Supports Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ctr Supports |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 10182 S Campden Ct, South Jordan,
Utah, 84009-7109 |
| Phone: | 801-788-4988 |
| Fax: | 801-206-3588 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Cobilynn R Dickinson |
| Position: | Executive Director |
| Contact Number: | 801-450-3164 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ctr Supports clinic are as mentioned below.
| NPI Number: | 1497254304 |
| NPI Enumeration Date: | 06 Feb, 2018 |
| NPI Last Update On: | 06 Feb, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ctr Supports are as mentioned below.
| Specialization | License Number | State | Status | |
| Cognitive & Behavioral | | | Primary | |
| Clinical Neuropsychologist | | | Secondary | |
| Behavioral Analyst | | | Secondary | |
| Clinical | | | Secondary | |
| Clinical Child & Adolescent | | | Secondary | |
| Mental Retardation & Developmental Disabilities | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 325706-2501 | Other | Utah | License Psychologist |
| 1658550246 | Medicaid | Utah | |
| 12195372 | Other | | Caqh |
| 325706-2506 | Other | Utah | Behavior Analyst |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ctr Supports
10182 S Campden Ct,
South Jordan, Utah |
| Zip: | 84009-7109 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Ctr Supports at
10182 S Campden Ct, South Jordan, Utah or can
call to book an appointment on 801-788-4988.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.