Individual
PAUL SILVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12284063-2501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2019
Last updated
10/27/2021
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