Individual
EMMA MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1433 N 1075 W STE 120, FARMINGTON, UT 84025-2746
(385) 219-4980
Mailing address
1170 SHEPARD CRK PKWY, FARMINGTON, UT 84025-2851
(801) 232-1161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8781073-2501
UT
103T00000X
Psychologist
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Other
Enumeration date
09/04/2014
Last updated
06/05/2025
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