Individual
PHILLIP DALE RASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1424 W 430 S, PROVO, UT 84601-3986
(385) 223-4321
Mailing address
1424 W 430 S, PROVO, UT 84601-3986
(385) 223-4321
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
57407092501
UT
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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