Organization
KAREN W. MALM, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WHEELOCK MALM PH.D. (OWNER)
(801) 599-0924
Entity
Organization
Contact information
Practice address
4018 RASMUSSEN RD, PARK CITY, UT 84098-4705
(801) 599-0924
(435) 649-7266
Mailing address
PO BOX 982678, PARK CITY, UT 84098-2678
(801) 599-0924
(435) 649-7266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
116826-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101527079003
—
UT
Enumeration date
05/18/2007
Last updated
08/22/2020
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