Individual
TIMOTHY B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
340 MCKB, PROVO, UT 84602-5082
(801) 422-1311
Mailing address
2364 CAMBRIDGE CIR, PROVO, UT 84604-4181
(801) 318-7832
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3094173-2501
UT
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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