Individual
DR. DOUGLAS PLATT BENSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
PO BOX 270, PROVO, UT 84603-0270
(801) 344-4400
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6866553-2501
UT
103TC0700X
Clinical Psychologist
Primary
6866553-2501
UT
103TP2701X
Group Psychotherapy Psychologist
6866553-2501
UT
Other
Enumeration date
04/30/2009
Last updated
05/16/2019
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