Individual
DR. MARK S. SMASAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
604 N PINION HILLS DR, DAMMERON VALLEY, UT 84783-5180
(702) 994-3890
Mailing address
PO BOX 1430, ST GEORGE, UT 84771-1430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
277642-2501
UT
103TC0700X
Clinical Psychologist
Primary
PY0364
NV
Other
Enumeration date
03/07/2007
Last updated
12/07/2016
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