Individual
LAURA H DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1190 NORTH 900 EAST, PROVO, UT 84604
(801) 422-7620
Mailing address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4981535-2501
UT
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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