Individual
GERALDINE ALLDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1220 N MAIN ST STE 4, SPRINGVILLE, UT 84663-4014
(801) 804-1028
Mailing address
1220 N MAIN ST STE 4, SPRINGVILLE, UT 84663-4014
(801) 804-1028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1131742501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005742629
—
UT
Enumeration date
09/01/2006
Last updated
03/17/2017
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