Individual
GERALD E. MANWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1105 S STATE ST, CLEARFIELD, UT 84015-1818
(801) 721-8050
Mailing address
1790 COUNTRY SPRINGS CIR, BOUNTIFUL, UT 84010-5963
(801) 243-4231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
107366-2501
UT
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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