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1174852289
INTERMOUNTAIN PSYCHOLOGY LLC
OGDEN, UT
NPI
1174852289
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Entity Type
Organization
Authorized Contact
RANDY LYNN RYAN
Registered Agent
801-913-0098
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2009-12-18
Last Update Date
2010-03-16
Business Address
INTERMOUNTAIN PSYCHOLOGY LLC
3544 LINCOLN AVE SUITE C
OGDEN, UT 84401-4045
Phone number: 801-913-0098
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Mailing Address
INTERMOUNTAIN PSYCHOLOGY LLC
PO BOX 17586
SALT LAKE CITY, UT 84117-0586
Phone number: 801-913-0098
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