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Brandon Wilde, CMHC
NPI 1710140447 · on the registry since 2008 · sole proprietor
Practice
- Address
- 122 E 1700 S Bldg 3
Provo, UT 84606 - Phone
- (801) 900-3656
- Organisation at this address
- Rocky Mountain University Of Health Professions Foundation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 4460 Central Way, Chubbuck, ID
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
101YM0800X
101YM0800X
101YP2500X - Licence states on file
- UT, ID, AZ, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-10
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