Individual
WAN HO
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) 344-4215
(801) 344-4225
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4215
(801) 344-4225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
13742548-2504
UT
Other
Enumeration date
07/20/2022
Last updated
05/29/2024
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