Individual
TRACY E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1500 WSC, PROVO, UT 84602-7924
(801) 422-3035
Mailing address
1500 WSC, PROVO, UT 84602-7924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10547269-2501
UT
Other
Enumeration date
07/19/2018
Last updated
04/07/2024
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