| Mountain West Evaluation & Therapy Services | |
|
4568 S Highland Dr Ste 200 Salt Lake City UT 84117-4235 | |
| (801) 871-9145 | |
| Not Available |
| Full Name | Mountain West Evaluation & Therapy Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4568 S Highland Dr Ste 200, Salt Lake City, Utah |
| Authorized Official Name and Position | Stacey Allene Graziano (OWNER) |
| Authorized Official Contact | 8015878020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain West Evaluation & Therapy Services 4568 S Highland Dr Ste 200 Salt Lake City UT 84117-4235 Ph: () - | Mountain West Evaluation & Therapy Services 4568 S Highland Dr Ste 200 Salt Lake City UT 84117-4235 Ph: (801) 871-9145 |
| NPI Number | 1396364816 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 04/14/2020 |
| Certification Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396364816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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