Organization
M FORD MCBRIDE, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX FORD MCBRIDE PHD (PRESIDENT)
(801) 357-7757
Entity
Organization
Contact information
Practice address
1055 N 300 W, 414, PROVO, UT 84604-3344
(801) 357-7757
(801) 357-8100
Mailing address
1055 N 300 W, 414, PROVO, UT 84604-3344
(801) 357-7757
(801) 357-8100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
109867-2501
UT
Other
Enumeration date
06/03/2008
Last updated
07/01/2008
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