Individual
MR. ARIEL LAWRENCE RAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2225 E MURRAY HOLLADAY RD, SUITE 116, HOLLADAY, UT 84117
(877) 919-4521
(385) 276-1377
Mailing address
2225 E MURRAY HOLLADAY RD, SUITE 116, HOLLADAY, UT 84117
(877) 919-4521
(385) 276-1377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60595515
WA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY60595515
WA
103TC2200X
Clinical Child & Adolescent Psychologist
12441967-2501
UT
Other
Enumeration date
11/05/2015
Last updated
11/14/2022
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