Organization · NPI-2

Mountain West Psychology Services

Psychologist, Clinical · Kaysville, UT

NPI number1285099846
StatusActive
Last updated in NPPESSep 9, 2020

Details

NPI
1285099846
Entity type
Organization (NPI-2)
Legal business name
Mountain West Psychology Services
Organization subpart
No
Enumeration date
Dec 28, 2015
Certification date
Sep 9, 2020
Last updated
Sep 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical30838252501UTYes

Practice location

265 N Main St Ste D173
Kaysville, UT 84037-1401

Phone 801-476-9616 · Fax 801-476-6990

Mailing address

265 N Main St Ste D173
Kaysville, UT 84037-1401

Phone 801-476-6916 · Fax 801-476-6990

Authorized official

Kent E Nabers
Owner
8014766916

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