Organization · Type 2 NPI

Professional Clinical Management

Psychologist · Provo, UT

NPI number 1023263191 Active

Practice location

1355 N University Ave Ste 200
Provo, UT 84604-2721

Fax (801) 221-0291

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X851131532501 (UT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1023263191

Professional Clinical Management's National Provider Identifier is 1023263191, issued on Nov 17, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Provo, UT. The record was last updated on Nov 17, 2008.