| Mindbloom Evaluation & Consultation | |
|
4848 W Thrush Hill Dr Ste 270 West Jordan UT 84081-4126 | |
| (801) 755-9196 | |
| Not Available |
| Full Name | Mindbloom Evaluation & Consultation |
|---|---|
| Speciality | Psychologist |
| Location | 4848 W Thrush Hill Dr Ste 270, West Jordan, Utah |
| Authorized Official Name and Position | Taryn Nicksic-springer (OWNER) |
| Authorized Official Contact | 8017559196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbloom Evaluation & Consultation 4848 W Thrush Hill Dr Ste 270 West Jordan UT 84081-4126 Ph: (801) 755-9196 | Mindbloom Evaluation & Consultation 4848 W Thrush Hill Dr Ste 270 West Jordan UT 84081-4126 Ph: (801) 755-9196 |
| NPI Number | 1801774641 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801774641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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