THEODORE TERRY

PROVO, UT
NPI1790892685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  1104522501)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: UT  1104523501)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
-- THEODORE TERRY PhD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
-- THEODORE TERRY PhD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760