| Organization Name: | MOUNTAIN WEST PSYCHOLOGY SERVICES LLC |
| NPI Number: | 1285099846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENT E NABERS (OWNER) |
| Mailing Address: | 920 Chambers St South Ogden |
| State: | UT US |
| Postal Code: | 844035150 |
| Phone Number: | 8014766916 |
| Fax Number: | 8014766990 |
| NPI Enumeration Date: | 12/28/2015 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 30838252501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |