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Organization

LONE PEAK PSYCHOLOGICAL EVALUATIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY MANGNALL PSYD (EXECUTIVE DIRECTOR)
(801) 203-4442
Entity
Organization

Contact information

Practice address
6787 S REDWOOD RD STE 2, WEST JORDAN, UT 84084-2404
(801) 203-4442
Mailing address
6787 S REDWOOD RD STE 2, WEST JORDAN, UT 84084-2404
(801) 203-4442

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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