Individual
PETER JOSEPH CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 E 200 N APT 304, PROVO, UT 84606-6671
(469) 264-4639
Mailing address
73 E 200 N APT 304, PROVO, UT 84606-6671
(469) 264-4639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11560202-8900
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11560202-8900
UT
Other
Enumeration date
03/03/2026
Last updated
03/09/2026
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