NPI
Tyler R. Pedersen
NPI 1518260280
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- Ph.D.
- Type
- Individual
- Enumeration date
- 2010-12-17
- Last updated
- 2010-12-17
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Specialties
Licenses
- License UT
- 4911738-2501
Location
- Practice location
- 1500 Wsc
- City
- Provo UT
- Postal code
- 84602
- Phone
- (801) 830-9155
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Psychologists in Provo, UT. 45 with this primary taxonomy in the public file.
Other NPIs in Provo, UT. 6,087 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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