Individual
AYLIN ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY61686160
WA
103TC0700X
Clinical Psychologist
Primary
13213019-2504
UT
Other
Enumeration date
02/27/2015
Last updated
11/20/2025
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