Bradley Dwayne Crockett Valid NPI
Individual provider · School Psychologist · Provo, UT
- NPI
- 1134867310
- Type
- Individual (Type 1)
- Primary specialty
- School Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TS0200X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-05-26
- Last updated
- 2022-05-26
Practice location
240 West 940 North
Provo, UT 84604
(801) 374-4800