Organization
UTAH CENTER FOR PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY MANGNALL PSYD (LICENSED PSYCHOLOGIST)
(801) 839-5360
Entity
Organization
Contact information
Practice address
6787 S REDWOOD RD, WEST JORDAN, UT 84084-2404
(801) 839-5360
(801) 683-6672
Mailing address
6787 S REDWOOD RD, WEST JORDAN, UT 84084-2404
(801) 839-5360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/20/2023
Last updated
11/20/2024
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