Tyler R. Pedersen, PH.D.

Psychologist · Provo, UT

Individual Active NPI

NPI number 1518260280

Practice location

1500 WSC
Provo, UT 84602
Phone
(801) 830-9155

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NPI record

NPI
1518260280
Entity type
Individual (Type 1)
Enumeration date
December 17, 2010
Last updated
December 17, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 4911738-2501 UT

About Dr. Pedersen

Tyler R. Pedersen, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1500 WSC, Provo, UT 84602. The NPI number 1518260280 was assigned on December 17, 2010 and the record was last updated on December 17, 2010.

Dr. Pedersen lists a license in the registry: #4911738-2501 (UT) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler R. Pedersen, PH.D.?

The NPI number is 1518260280.

What is the phone number of Dr. Pedersen?

The phone number listed for the practice location is (801) 830-9155.

Where is Dr. Pedersen located?

1500 WSC, Provo, UT 84602.

What is the taxonomy code for Dr. Pedersen?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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