Most Relevant Information
Provider Data
| NPI Number: | 1003340571 |
| Provider Name: | STEPHANIE DAVIS LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 9129426-3902 |
Most Important Dates
| Enumeration Date: | 04/12/2017 |
| Last Updated: | 04/12/2017 |
Provider Practice Location
481 E 1000 S
SUITE D
PLEASANT GROVE
UT
840623696
Practice Location Phone/Fax
| Phone: | 3608086680 |
| Fax: |
Provider Mailing Location
481 E 1000 S
SUITE D
PLEASANT GROVE
UT
840623696
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |