Individual
DR. JOHN DALE LIVINGSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1355 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604-2721
(801) 221-0223
(801) 221-0291
Mailing address
1355 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604-2721
(801) 221-0223
(801) 221-0291
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4923696-2501
UT
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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