Organization
MOUNTAIN METTA PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER MACKEY WILSON DO (PSYCHIATRIST/OWNER)
(801) 396-0401
Entity
Organization
Contact information
Practice address
1785 E 1450 S STE 360, CLEARFIELD, UT 84015-2354
(801) 396-0401
(801) 406-1062
Mailing address
1785 E 1450 S STE 360, CLEARFIELD, UT 84015-2354
(801) 396-0401
(801) 406-1062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
09/07/2021
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