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

Mr. Augusto Gancinia, AGENCYAFFILIATEDRE

Individual provider Psychologist · NPI 1881098051

Mr. Augusto Gancinia, AGENCYAFFILIATEDRE is a Psychologist in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2014

Practice location Address checks out

455 N University Ave Ste 201
Provo, UT 84601-2867
Phone: (385) 446-2466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 12458199-2501 (UT)

Record details

NPI number1881098051
Entity typeIndividual (Type 1)
GenderMale
Credentials AGENCYAFFILIATEDRE
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

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