NPI 1316106966

Tanya Colledge, PSYD

Practitioner Psychologist Pleasant Grove, UT

Practice location

Address: 1392 W State Rd, Pleasant Grove, UT 84062-5020
Phone: (801) 318-8157
Mailing address: PO Box 454, American Fork, UT 84003-0454

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 5533547-2501 (UT)

Other Psychologist providers in Utah →

Registry record

NPI: 1316106966
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2008
Record last updated: 7 Jun 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.