Individual
SCOTT R BRAITHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
BRIGHAM YOUNG UNIVERSITY, 286 TLRB, PROVO, UT 85602
(801) 422-8583
Mailing address
BRIGHAM YOUNG UNIVERSITY, 286 TLRB, PROVO, UT 85602
(801) 422-8583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8035128-2501
UT
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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