Intermountain Psychology LLC

NPI #1174852289 in Ogden, Utah

Provider Information

NPI Number
1174852289
Entity Type
Organization
Organization Name
Intermountain Psychology LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Dec 18, 2009
Last Updated
Mar 16, 2010

Practice Location

Address
3544 LINCOLN AVE
Address 2
SUITE C
City
Ogden
State
Utah
ZIP Code
84401-4045
Phone
(801) 913-0098

Authorized Official

Name
DR. RANDY LYNN RYAN, PSY.D.
Title
REGISTERED AGENT
Phone
(801) 913-0098

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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