Professional Clinical Management
Professional Clinical Management is a Psychologist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2008.
- Licensed in
- UT
- In the registry since
- 2008
Practice location Address checks out
1355 N University Ave Ste 200Provo, UT 84604-2721
Phone: (801) 221-0223
Fax: (801) 221-0291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 851131532501 (UT) |
|---|
Record details
| NPI number | 1023263191 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Hyde — Clinical Director · (801) 221-0223 |
| Other names | Preferred Family Clinic |
| NPI enumerated | November 17, 2008 |
| Last updated in NPPES | November 17, 2008 |
| Mailing address | 1355 N University Ave Ste 200, Provo, UT 84604-2721 |
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