Individual
KAT TUMBLIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1190 N 900 E, OFFICE 268, PROVO, UT 84604-3536
(801) 422-6475
Mailing address
1190 N 900 E, OFFICE 268, PROVO, UT 84604-3536
(801) 422-6475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9870487-2501
UT
Other
Enumeration date
09/20/2010
Last updated
12/29/2016
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