Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology

MARYGLEN STANICH MD

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1285261594 · enumerated 2020-03-25 · record updated 2026-02-10. Source: CMS NPPES. A listing is not a TRICARE network approval.

Other names: MARY GLEN VIELLEUX

Addresses and phones

Specialties

  • Pediatrics 208000000X · License 12409779-1205 UT
  • Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X · Primary · License 12409779-1205 UT

In this directory

Locations and evidence

  • Practice location SALT LAKE CITY, UT, 841131125
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.