Individual
DR. LYNNETTE A. AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3520 N UNIVERSITY AVE, PROVO, UT 84604-6648
(801) 787-9855
Mailing address
3520 N UNIVERSITY AVE, PROVO, UT 84604-6648
(801) 787-9855
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9385148-2501
UT
Other
Enumeration date
12/04/2015
Last updated
12/11/2020
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