Organization
MOUNTAIN WEST EVALUATION & THERAPY SERVICES
Active
Other names
MW Evaluations/Mountain West Evals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY GRAZIANO PH.D. (LICENSED PSYCHOLOGIST/OWNER)
(801) 871-9145
Entity
Organization
Contact information
Practice address
3344 S 1885 E, SALT LAKE CITY, UT 84106-3942
(801) 871-9145
Mailing address
3344 S 1885 E, SALT LAKE CITY, UT 84106-3942
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1444
NM
103T00000X
Psychologist
9444446-2504
UT
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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