Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1912005240
Practice Locations (4)
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
750 N FREEDOM BLVD
Provo, UT 846011677
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
750 N 200
PROVO, UT 846011677
8013734760
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
750 N FREEDOM BLVD
PROVO, UT 846011677
8013734760
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
750 N FREEDOM BLVD, SUITE 300
PROVO, UT 846011677
Source: CMS National Downloadable File, September 2026.