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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY DWAYNE CROCKETT

Active Sole Proprietor

School Psychologist · PROVO, UT

Registration Details

NPI Number
1134867310
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2022 (3.9140641436735 yrs)
Last Updated
May 26, 2022
Sole Proprietor
Yes

Practice Information

Address
240 WEST 940 NORTH
PROVO, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8013744800
Primary Specialty
School Psychologist
103TS0200X

Other School Psychologist Providers in PROVO, UT

Name Credential NPI
CANDICE LIN SMITH 1114462231
MRS. MARIE DIAN FOSTER M.ED. SPS 1689178071
MRS. JULIA ROLLINS ED.S. 1346984093
ROBERT GOMM EDS 1548905052
BENJAMIN OOI 1578208856
BRYAN KENT YOUNG 1346986056
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.