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

Kent W Anderson PHD PC

Organization Clinical Psychologist · NPI 1255662425

Kent W Anderson PHD PC is a Clinical Psychologist in Providence, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

545 W 465 N Ste 130
Providence, UT 84332-8003
Phone: (435) 752-7627
Fax: (435) 752-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 324469-2501 (UT)

Record details

NPI number1255662425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Anderson — President/Owner · (435) 752-7627
NPI enumeratedJanuary 27, 2010
Last updated in NPPESJanuary 27, 2010
Mailing address545 W 465 N, Suite 130, Providence, UT 84332-8003

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