Individual
GARRETT G CHESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1134 N 500 W, PROVO, UT 84604-3383
(801) 357-8310
Mailing address
283 E 930 S, OREM, UT 84058-5001
(801) 225-6246
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
379374-2501
UT
103TC0700X
Clinical Psychologist
Primary
379374-2501
UT
103TH0004X
Health Psychologist
379374-2501
UT
103TP2701X
Group Psychotherapy Psychologist
379374-2501
UT
Other
Enumeration date
01/16/2009
Last updated
07/21/2022
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