IndividualActive
Bradley Crockett
NPI 1134867310 · School Psychologist · Provo, UT
Provider details
- NPI number
- 1134867310
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1753 Red Barn Rd
Springville, UT 84663-3231
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2022-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.