Whalio Doctors

NPI 1083793467

Max Ford McBride, PHD

Practitioner Clinical Psychologist Provo, UT

Practice location

Address
1055 N 300 W Suite 414, Provo, UT 84604-3344
Phone
(801) 357-7757
Fax
(801) 357-8100

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 109867-2501 (UT)

Registry record

NPI
1083793467
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Nov 2006
Record last updated
1 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.