Individual
DR. THOMAS GOLIGHTLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WSC BYU, PROVO, UT 84602
(801) 836-0115
Mailing address
1500 WSC BYU, PROVO, UT 84602
(801) 836-0115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7101757-2501
UT
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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