Organization
INTERFACE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MAX FOSTER LCSW (PRESIDENT)
(801) 328-8817
Entity
Organization
Contact information
Practice address
508 E SOUTH TEMPLE STE 201, SALT LAKE CITY, UT 84102-1099
(801) 328-8817
(801) 366-4284
Mailing address
508 E SOUTH TEMPLE STE 201, SALT LAKE CITY, UT 84102-1099
(801) 328-8817
(801) 366-4284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
831271513501
UT
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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