Individual
AMANDA J. MCLEARN-MONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5702
Mailing address
650 S KOMAS DR STE 208, SALT LAKE CITY, UT 84108-1241
(801) 587-3543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12407594-1205
UT
2084P0800X
Psychiatry Physician
Primary
12407594-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
12407594-1205
UT
Other
Enumeration date
03/29/2020
Last updated
09/23/2021
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