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1609528751
TIMOTHY B SMITH
PROVO, UT
NPI
1609528751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 3094173-2501)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
TIMOTHY B SMITH PhD
340 MCKB
PROVO, UT 84602-5082
Phone number: 801-422-1311
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Mailing Address
TIMOTHY B SMITH PhD
2364 CAMBRIDGE CIR
PROVO, UT 84604-4181
Phone number: 801-318-7832
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