Individual provider · Type 1 NPI
Mark Stephen Manazer, PhD
Psychologist · Salt Lake City, UT
Practice location
511 W 200 S, Suite 160
Salt Lake City, UT 84101-1185
Fax (801) 355-3546
Mailing address
5643 Bonica Ln
Herriman, UT 84065-1741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 380579-2501 (UT) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1811028962
Mark Stephen Manazer, PhD's National Provider Identifier is 1811028962, issued on Mar 8, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.