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Individual

HEATH DEAN GRANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
517 S OREM BLVD # 204, OREM, UT 84058-3101
(801) 361-7104
Mailing address
984 W 1090 N, AMERICAN FORK, UT 84003-3896
(801) 361-7104

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4956669-2501
UT
103T00000X
Psychologist
Primary
49566692501
UT

Other

Enumeration date
11/25/2006
Last updated
10/08/2024
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