| NPI | 1285178459 |
|---|---|
| Doing Business As | MW EVALUATIONS/MOUNTAIN WEST EVALS |
| Entity Type | Organization |
| Authorized Contact | STACEY GRAZIANO Licensed Psychologist/Owner 801-871-9145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1444) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 9444446-2504) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |