Scott R Braithwaite, PH.D.

NPI #1942908439 in Provo, Utah

Provider Information

NPI Number: 1942908439
Entity Type: Individual
Name: Scott R Braithwaite, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Feb 23, 2023
Last Updated: Feb 23, 2023

Practice Location

Address: BRIGHAM YOUNG UNIVERSITY
Address 2: 286 TLRB
City: Provo
State: Utah
ZIP Code: 85602
Phone: (801) 422-8583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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