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

Theodore Terry, PHD

Individual provider Clinical Psychologist · NPI 1790892685

Theodore Terry, PHD is a Clinical Psychologist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

750 N 200 W
Provo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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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 1104522501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1104523501 (UT)

Record details

NPI number1790892685
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address750 North 200 West, Provo, UT 84601

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