| Preferred Family Clinic | |
|
1355 N University Ave Ste 200 Provo UT 84604-2721 | |
| (801) 221-0223 | |
| (801) 221-0291 |
| Full Name | Preferred Family Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 1355 N University Ave Ste 200, Provo, Utah |
| Authorized Official Name and Position | Randall F Hyde (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8012210223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Family Clinic 1355 N University Ave Ste 200 Provo UT 84604-2721 Ph: (801) 221-0223 | Preferred Family Clinic 1355 N University Ave Ste 200 Provo UT 84604-2721 Ph: (801) 221-0223 |
| NPI Number | 1023263191 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023263191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 851131532501 (Utah) | Primary |
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