Individual
RICHARD ALLEN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1500 WSC, COUNSELING AND CAREER CENTER - BYU, PROVO, UT 84602-7906
(801) 422-3035
(801) 422-0173
Mailing address
1500 WSC, COUNSELING AND CAREER CENTER - BYU, PROVO, UT 84602-7906
(801) 422-3035
(801) 422-0173
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
343067-2501
UT
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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