Organization
TNR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEG MCBRIDE (PSYD, OWNER)
(385) 567-4063
Entity
Organization
Contact information
Practice address
2520 N UNIVERSITY AVE STE 100, PROVO, UT 84604-3819
(385) 567-4063
Mailing address
2520 N UNIVERSITY AVE STE 100, PROVO, UT 84604-3819
(385) 567-4063
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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