| Mountain Pediatric Psychology Inc | |
|
3361 Buckboard Dr Park City UT 84098-5303 | |
| (435) 200-3083 | |
| Not Available |
| Full Name | Mountain Pediatric Psychology Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3361 Buckboard Dr, Park City, Utah |
| Authorized Official Name and Position | Jessica Robnett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4352003083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Pediatric Psychology Inc 3361 Buckboard Dr Park City UT 84098-5303 Ph: (435) 200-3083 | Mountain Pediatric Psychology Inc 3361 Buckboard Dr Park City UT 84098-5303 Ph: (435) 200-3083 |
| NPI Number | 1174289144 |
|---|---|
| Provider Enumeration Date | 11/13/2021 |
| Last Update Date | 11/13/2021 |
| Certification Date | 11/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174289144 | NPI | - | NPPES |
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