Individual
DR. MARK E OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
455 E 200 S STE 110, SALT LAKE CITY, UT 84111-2156
(801) 474-1900
(801) 532-1780
Mailing address
455 E 200 S STE 110, SALT LAKE CITY, UT 84111-2156
(801) 474-1900
(801) 532-1780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
112616-2501
UT
Other
Enumeration date
10/14/2006
Last updated
02/07/2011
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