| Kauo Deisher And Associates | |
|
1330 E 900 S Provo UT 84606-6307 | |
| (801) 885-2088 | |
| Not Available |
| Full Name | Kauo Deisher And Associates |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1330 E 900 S, Provo, Utah |
| Authorized Official Name and Position | Sharla L Deisher (OWNER) |
| Authorized Official Contact | 8018852088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kauo Deisher And Associates 1330 E 900 S Provo UT 84606-6307 Ph: (801) 885-2088 | Kauo Deisher And Associates 1330 E 900 S Provo UT 84606-6307 Ph: (801) 885-2088 |
| NPI Number | 1902561889 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902561889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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