Mariah Bullock, PHD
Individual provider Active NPI Psychologist · Cottonwood Heights, UT
NPI 1144075409 · NPPES record last updated Apr 20, 2024
Key facts
- NPI
- 1144075409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 7080 S 2985 E
Cottonwood Heights, UT 84121-4254 - Phone
- (714) 222-0002
- NPI assigned
- Apr 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
7080 S 2985 E
Cottonwood Heights, UT 84121-4254
Mailing address
7080 S 2985 E
Cottonwood Heights, UT 84121-4254
Phone (714) 222-0002
Other names
- Mariah Nogueira
Other providers in Cottonwood Heights, UT
- Caleb Samuel Brewer
- Keiton Brewer
- Katherine Brooks
- Kallie Nicole Brown
- Bayley Elizabeth Bruner
- Matalyn M Bunn
- Leesa Jo Burriss
- Mary Joann Butcher
- Malcolm Butler
- Linda Butts
All providers in Cottonwood Heights, UT · Psychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.