Organization
CANYON RIDGE PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEFRANDT PHD (LICENSED PSYCHOLOGIST)
(801) 252-5122
Entity
Organization
Contact information
Practice address
455 N UNIVERSITY AVE STE 201, PROVO, UT 84601-2867
(801) 252-5122
Mailing address
455 N UNIVERSITY AVE STE 201, PROVO, UT 84601-2867
(801) 252-5122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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