Individual
DR. C. LEROY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, UTAH VALLEY PSYCHIATRY AND COUNSELING CLINIC, PROVO, UT 84604-3380
(801) 357-7525
Mailing address
1034 N 500 W, UTAH VALLEY PSYCHIATRY AND COUNSELING CLINIC, PROVO, UT 84604-3380
(801) 357-7525
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
821686511205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
821686511205
UT
Other
Enumeration date
12/30/2005
Last updated
06/09/2015
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