Individual
STEPHANIE ANN MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Mailing address
942 CHAMBERS ST STE 12, SOUTH OGDEN, UT 84403-5131
(385) 244-9468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10818277-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
UT
Enumeration date
06/12/2018
Last updated
03/31/2022
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