Individual
LISA M MOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 FOOTHILL DR, SUITE 24, SALT LAKE CITY, UT 84108-2327
(801) 581-0422
(801) 581-0764
Mailing address
1400 FOOTHILL DR, SUITE 24, SALT LAKE CITY, UT 84108-2327
(801) 581-0422
(801) 581-0764
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2797320-2501
UT
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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