Individual
RODRIGO VEAS-WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1355 N UNIVERSITY AVE STE 200, PROVO, UT 84604-2721
(801) 221-0223
Mailing address
1355 N UNIVERSITY AVE STE 200, PROVO, UT 84604-2721
(801) 636-5414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
95249182501
UT
Other
Enumeration date
08/06/2014
Last updated
03/28/2016
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