Russell-Stamp, Mary Melinda
Russell-Stamp, Mary Melinda is an individual health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Russell-Stamp, Mary Melinda can be contacted via phone (801) 574-4405.Contact Information
Primary practice address
415 Medical Dr Ste D101
Bountiful UT 84010-8905
Phone: (801) 574-4405
Fax: (801) 295-5537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 9153826-2501 | Utah |
Profile Details
| NPI number | 1588189492 |
|---|---|
| LBN Legal business name | Russell-Stamp, Mary Melinda |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2017 |
| Last updated | Jul 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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