| Tnr Llc | |
|
2520 N University Ave Ste 100 Provo UT 84604-3819 | |
| (385) 567-4063 | |
| Not Available |
| Full Name | Tnr Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2520 N University Ave Ste 100, Provo, Utah |
| Authorized Official Name and Position | Teg Mcbride (PSYD, OWNER) |
| Authorized Official Contact | 3855674063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tnr Llc 2520 N University Ave Ste 100 Provo UT 84604-3819 Ph: (385) 567-4063 | Tnr Llc 2520 N University Ave Ste 100 Provo UT 84604-3819 Ph: (385) 567-4063 |
| NPI Number | 1659095602 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659095602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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