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Individual

DR. HEIDI MARIE BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7834
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 313-7940

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8739669-2501
UT

Other

Enumeration date
03/15/2014
Last updated
02/26/2015
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