Organization
PSYCHOLOGICAL ASSESSMENT & INTERVENTION RESOURCES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RAPACZ PSY.D. (OWNER)
(801) 822-9542
Entity
Organization
Contact information
Practice address
922 W BAXTER DR STE 260, SOUTH JORDAN, UT 84095-8626
(801) 822-9542
Mailing address
922 W BAXTER DR STE 260, SOUTH JORDAN, UT 84095-8626
(801) 822-9542
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10160877-0144
UT
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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