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

Mrs. Annette Anderson Proctor

Individual provider Clinical Social Worker · NPI 1144802505

Mrs. Annette Anderson Proctor is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021

Practice location Address checks out

395 W Cougar Blvd Ste 105
Provo, UT 84604-3311
Phone: (801) 357-8586
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2620503501 (UT)

Record details

NPI number1144802505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

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