Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Terry, PHD

Individual provider Clinical Psychologist · NPI 1790892685

Theodore Terry, PHD is a Clinical Psychologist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

750 N 200 W
Provo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1104522501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1104523501 (UT)

Record details

NPI number1790892685
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESSeptember 11, 2025

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