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1841022795
CANYON RIDGE PSYCHOLOGY LLC
PROVO, UT
NPI
1841022795
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Entity Type
Organization
Authorized Contact
JASON LEFRANDT
Licensed Psychologist
801-252-5122
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
CANYON RIDGE PSYCHOLOGY LLC
455 N UNIVERSITY AVE STE 201
PROVO, UT 84601-2867
Phone number: 801-252-5122
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Mailing Address
CANYON RIDGE PSYCHOLOGY LLC
455 N UNIVERSITY AVE STE 201
PROVO, UT 84601-2867
Phone number: 801-252-5122
Copy
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