NPI 1235488008

Nicole I Medina, PSYD

Practitioner Clinical Psychologist Murray, UT

Practice location

Address: 5965 S 900 E, Murray, UT 84121-1757
Phone: (801) 872-5516
Mailing address: 5965 S 900 E STE 100, Murray, UT 84121-1850

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 10158726-2501 (UT)

Other Psychologist providers in Utah →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 10158726-2501 (UT)

Registry record

NPI: 1235488008
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2012
Record last updated: 11 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.