Organization
RICHARD KING MOWER, PH.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KING MOWER PH.D. (OWNER)
(801) 292-6101
Entity
Organization
Contact information
Practice address
505 S MAIN ST, BOUNTIFUL, UT 84010-6398
(801) 292-6101
(801) 298-5349
Mailing address
505 S MAIN ST, BOUNTIFUL, UT 84010-6398
(801) 292-6101
(801) 298-5349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
112704-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529824129002
—
UT
Enumeration date
01/13/2012
Last updated
01/13/2012
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