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Individual

PROF. BENJAMIN MCKAY OGLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-8193
Mailing address
281 E 2660 N, PROVO, UT 84604-6145
(801) 362-5169

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8203644-2501
UT

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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