Individual
RICHARD W POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1157 N 300 W, PROVO, UT 84604-6124
(801) 357-7525
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
321543-2501
UT
Other
Enumeration date
07/21/2006
Last updated
01/26/2016
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