Mindbloom Evaluation & Consultation

NPI #1801774641 in West Jordan, Utah

Provider Information

NPI Number: 1801774641
Entity Type: Organization
Organization Name: Mindbloom Evaluation & Consultation
Primary Specialty: Psychologist
Enumeration Date: Aug 21, 2025
Last Updated: Aug 21, 2025

Practice Location

Address: 4848 W THRUSH HILL DR STE 270
City: West Jordan
State: Utah
ZIP Code: 84081-4126
Phone: (801) 755-9196

Authorized Official

Name: TARYN NICKSIC-SPRINGER, PHD, BCBA-D
Title: OWNER
Phone: (801) 755-9196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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