Bradley Dwayne Crockett
Bradley Dwayne Crockett is a School Psychologist in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
240 W 940 NProvo, UT 84604
Phone: (801) 374-4800
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Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X |
|---|
Record details
| NPI number | 1134867310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2022 |
| Last updated in NPPES | May 26, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | 1753 Red Barn Rd, Springville, UT 84663-3231 |
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