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Georgia Dalto

Psychologist in Provo, UT. Individual provider (NPI-1).

NPI number1982256749
StatusActive
Last updated in NPPESDec 21, 2021

Details

NPI
1982256749
Entity type
Individual (NPI-1)
Name
Georgia Dalto
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2019
Certification date
Dec 21, 2021
Last updated
Dec 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPY1050NVYes

Practice location

1300 E Center St
Provo, UT 84606-3554

Phone 801-344-4126

Mailing address

1300 E Center St
Provo, UT 84606-3554

Phone 801-344-4126

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