Organization
ADVANCED MINDSET PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL UTHOFF PSYD (VICE PRESIDENT)
(314) 307-1307
Entity
Organization
Contact information
Practice address
541 S GLENDORA AVE, GLENDORA, CA 91741-6209
(314) 307-1307
Mailing address
168 LOWELL AVE, GLENDORA, CA 91741-2449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
27619
CA
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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