Organization
ELIZABETH DOSHER LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN DOSHER LCSW (OWNER/PSYCHOTHERAPIST)
(435) 513-2280
Entity
Organization
Contact information
Practice address
2760 RASMUSSEN RD BLDG D, SUITE 205, PARK CITY, UT 84098-5684
(435) 513-2280
Mailing address
2760 W EST RASMUSSEN RD, BLDG D, SUITE 205, PARK CITY, UT 84098-5177
(435) 513-2280
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
62245433501
UT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
62245433501
UT
Other
Enumeration date
04/08/2011
Last updated
09/09/2011
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