Search › Utah › 103TC1900X
Royace Shively, PH.D
NPI 1457444077 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1571 Wsc
Brigham Young University
Provo, UT 84602 - Phone
- (801) 422-3035
- Fax
- (801) 422-0173
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah