Healthcare Provider Details

I. General information

NPI: 1740147719
Provider Name (Legal Business Name): MIND STRETCH PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 E SOUTH TEMPLE STE 201
SALT LAKE CITY UT
84111-1268
US

IV. Provider business mailing address

1238 S 50 E UNIT 4
LEHI UT
84043-4879
US

V. Phone/Fax

Practice location:
  • Phone: 385-539-2077
  • Fax:
Mailing address:
  • Phone: 385-560-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA TSOI
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 385-560-5871