Intermountain Psychology Llc

NPI 1174852289 - Clinic/Center - 261QM0850X

NPI Details
NPI 1174852289
Enumeration Date 12/18/2009
Last Updated 03/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RANDY LYNN RANDY
Position REGISTERED AGENT
Phone (801) 913-0098
Fax (801) 272-3857
Practice Location
3544 LINCOLN AVE
SUITE C
OGDEN UT, 84401-4045, US
Phone (801) 913-0098
Fax (801) 272-3857
Business Location
PO BOX 17586
SALT LAKE CITY UT, 84117-0586, US
Phone (801) 913-0098
Fax (801) 272-3857
Toxanomy
Taxonomy Code 261QM0850X
License State
License Number
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According to our database, Intermountain Psychology Llc NPI is 1174852289, taxonomy code is 261QM0850X Intermountain Psychology Llc physically located at 3544 Lincoln Ave, Ogden UT, 84401-4045. NPI Number 1033115704 has the healthcare provider type.

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1174852289 NPI number is provided on an as is basis without warranty of any kind. 1174852289 is maintained by the National Plan & Provider Enumeration System. The contents of Intermountain Psychology Llc are for informational purposes only.