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1922101849
RICHARD ALLEN MOODY
PROVO, UT
NPI
1922101849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 343067-2501)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- RICHARD ALLEN MOODY Psy.D.
1500 WSC COUNSELING AND CAREER CENTER - BYU
PROVO, UT 84602-7906
Phone number: 801-422-3035
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Mailing Address
-- RICHARD ALLEN MOODY Psy.D.
1500 WSC COUNSELING AND CAREER CENTER - BYU
PROVO, UT 84602-7906
Phone number: 801-422-3035
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