institution
Intermountain Psychology Llc
Adult Mental Health Clinic/Center in Ogden, Utah
NPI 1174852289

Intermountain Psychology Llc is an Adult Mental Health Clinic/Center based in Salt Lake City, UT and is specialized in Adult Mental Health. Intermountain Psychology Llc practices in Ogden, UT. The NPI Number for Intermountain Psychology Llc is 1174852289 and holds a License No. (Utah).

The current practice location address for Intermountain Psychology Llc is 3544 Lincoln Ave, Ogden, UT and can be reached out via phone at 801-913-0098 and via fax at 801-272-3857. You can also correspond with Intermountain Psychology Llc through the mailing address at PO BOX 17586, SALT LAKE CITY, UT - 84117-0586 (mailing address contact number: 801-913-0098).

Location: 3544 Lincoln Ave, Ogden, UT, 84117-0586
institution
Provider Profile Details
NPI Number
1174852289
Provider Name
Intermountain Psychology Llc
Credential
Provider Entity Type
Organization
Address
3544 Lincoln Ave, Ogden, UT, 84117-0586
Phone Number
801-913-0098
Fax Number
801-272-3857
Provider Enumeration Date
12/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000068518 01 UT MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3544 Lincoln Ave
City
State
Zip
84401-4045
Phone Number
801-913-0098
Fax Number
801-272-3857
person
Provider Business Mailing Address Details
Address
3544 Lincoln Ave
City
State
Zip
84401-4045
Phone Number
801-913-0098
Fax Number
801-272-3857
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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