Individual
MARIAH BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7080 S 2985 E, COTTONWOOD HEIGHTS, UT 84121-4254
(714) 222-0002
Mailing address
7080 S 2985 E, COTTONWOOD HEIGHTS, UT 84121-4254
(714) 222-0002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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