Marycatherine Smith Psy.D. Incorporated
Psychologist in Sandy, UT. Organization (NPI-2).
NPI number1023536786
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1023536786
- Entity type
- Organization (NPI-2)
- Legal business name
- Marycatherine Smith Psy.D. Incorporated
- Organization subpart
- No
- Enumeration date
- Sep 1, 2017
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 9649381-2501 | UT | Yes |
Practice location
11075 S State St Ste 16Sandy, UT 84070-5196
Phone 845-216-9738 · Fax 801-996-3762
Mailing address
10655 S Crescent Bend DrSandy, UT 84070-5290
Phone 845-216-9738 · Fax 801-996-3762
Authorized official
Marycatherine Smith
President
8452169738
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