Individual
DR. STEVEN M GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
814 BAMBERGER DR, SUITE B, AMERICAN FORK, UT 84003-2165
(801) 772-0202
(801) 772-0139
Mailing address
4213 WEST SANDALWOOD DRIVE, CEDAR HILLS, UT 84062
(801) 796-7199
(801) 772-0139
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
276564-2501
UT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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