Individual
DR. SHAYNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
262 TAYLOR BUILDING, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
(801) 422-6416
Mailing address
262 TAYLOR BUILDING, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001479
CT
106H00000X
Marriage & Family Therapist
Primary
9704606-3902
UT
Other
Enumeration date
04/18/2007
Last updated
03/16/2016
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