Theodore Terry is a Clinical in Provo, Utah. Theodore Terry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore Terry is 1790892685. The last update date is 2007-07-08.
Theodore Terry's current location address is 750 North 200 West, Provo, Utah. You can contact this provider via phone number 8013734760 and fax number 8013730639. The mailing address for Theodore Terry is 750 North 200 West, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore Terry |
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Address | 750 North 200 West, Provo, Utah |
Phone Number | 8013734760 |
Fax Number | 8013730639 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1790892685 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 750 North 200 West |
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City | Provo |
State | Utah (UT) |
Post Code | 84601 |
Phone Number | 8013734760 |
Fax Number | 8013730639 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 1104522501 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Theodore Terry by the Centers for Medicare & Medicaid Services?
The Theodore Terry has been issued the NPI (National Provider Identifier) 1790892685 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Theodore Terry's facilities are geographically located?
The facilities of Theodore Terry are physically situated at the following location: 750 North 200 West, Provo, UT, 84601.
What is Theodore Terry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theodore Terry is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Theodore Terry receive its 1790892685 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Terry was assigned its 1790892685 by the Centers for Medicare & Medicaid Services on 2006-08-24.
When was the Theodore Terry's information last updated?
The Theodore Terry's information was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY