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Kent W Anderson Phd PC

Psychologist, Clinical in Providence, UT. Organization (NPI-2).

NPI number1255662425
StatusActive
Last updated in NPPESJan 27, 2010

Details

NPI
1255662425
Entity type
Organization (NPI-2)
Legal business name
Kent W Anderson Phd PC
Organization subpart
No
Enumeration date
Jan 27, 2010
Last updated
Jan 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical324469-2501UTYes

Practice location

545 W 465 N
Suite 130
Providence, UT 84332-8003

Phone 435-752-7627 · Fax 435-752-7802

Mailing address

545 W 465 N
Suite 130
Providence, UT 84332-8003

Phone 435-752-7627 · Fax 435-752-7802

Authorized official

Kent W Anderson
President/Owner
4357527627

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