Individual
BRADFORD STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
2520 N UNIVERSITY AVE STE 202, PROVO, UT 84604-3857
(801) 477-6823
Mailing address
2520 N UNIVERSITY AVE STE 202, PROVO, UT 84604-3857
(801) 477-6823
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717001902
VA
106H00000X
Marriage & Family Therapist
Primary
12737565-3902
UT
Other
Enumeration date
03/18/2022
Last updated
05/06/2025
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