Individual
DR. HEIDI MATHIE MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2697 S KENWOOD ST, SALT LAKE CITY, UT 84106-3627
(801) 631-9632
Mailing address
2697 S KENWOOD ST, SALT LAKE CITY, UT 84106-3627
(801) 631-9632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9136519-2501
UT
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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