Individual
SEAN DOUGLAS SEABRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
730 E 950 S APT D429, OREM, UT 84097-6758
(580) 789-0344
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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