Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Ridge Psychology LLC

Organization Clinical Psychologist · NPI 1841022795

Canyon Ridge Psychology LLC is a Clinical Psychologist in Provo, Utah. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

455 N University Ave Ste 201
Provo, UT 84601-2867
Phone: (801) 252-5122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1841022795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Lefrandt — Licensed Psychologist · (801) 252-5122
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address455 N University Ave Ste 201, Provo, UT 84601-2867

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