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1053033282
MICHAELA SHIELDS
PROVO, UT
NPI
1053033282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 12966160-2504)
Enumeration Date
2022-09-14
Last Update Date
2024-04-19
Business Address
MICHAELA SHIELDS PsyD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4215
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Mailing Address
MICHAELA SHIELDS PsyD
PO BOX 270
PROVO, UT 84603-0270
Phone number:
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