Organization
THE JOURNEY
Active
Other names
The Journey
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADOLYN LIEBING PH.D (OWNER)
(435) 459-9222
Entity
Organization
Contact information
Practice address
619 N 500 W, PROVO, UT 84601-1547
(435) 459-9222
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(435) 459-9222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
114581-2501
UT
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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