Individual
DR. TEG WAYNE MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, ABPP
Contact information
Practice address
2510 5TH ST BLDG 840, WRIGHT PATTERSON AFB, OH 45433-7951
(509) 247-2731
Mailing address
2520 N UNIVERSITY AVE STE 100, PROVO, UT 84604-3819
(385) 567-4063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002696
GA
Other
Enumeration date
12/01/2005
Last updated
11/03/2022
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