I Promise Foundation

NPI 1144594003 - Psychologist - 103TC1900X

NPI Details
NPI 1144594003
Enumeration Date 02/23/2012
Last Updated 02/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KENDRA KENDRA
Position EXECUTIVE DIRECTOR
Phone (801) 472-9780
Fax (801) 426-4615
Practice Location
3521 N UNIVERSITY AVE
SUITE 225
PROVO UT, 84604-4418, US
Phone (801) 472-9780
Fax (801) 426-4615
Business Location
223 W BULLDOG BLVD # 443
PROVO UT, 84604-2546, US
Phone (801) 472-9780
Fax (801) 426-4615
Toxanomy
Taxonomy Code 103TC1900X
License State Utah
License Number 19034
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According to our database, I Promise Foundation NPI is 1144594003, taxonomy code is 103TC1900X and license number is 19034, license state is located at Utah. I Promise Foundation physically located at 3521 N University Ave, Provo UT, 84604-4418. NPI Number 1033115704 has the healthcare provider type.

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1144594003 NPI number is provided on an as is basis without warranty of any kind. 1144594003 is maintained by the National Plan & Provider Enumeration System. The contents of I Promise Foundation are for informational purposes only.