Provider Demographics
NPI:1447464086
Name:TOLMAN, ANTON (PHD)
Entity type:Individual
Prefix:DR
First Name:ANTON
Middle Name:
Last Name:TOLMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-9458
Mailing Address - Country:US
Mailing Address - Phone:801-921-0262
Mailing Address - Fax:
Practice Address - Street 1:800 W UNIVERSITY PKWY
Practice Address - Street 2:UVSC, MS115 BEHAVIORAL SCIENCES
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5999
Practice Address - Country:US
Practice Address - Phone:801-863-6377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6261866-2501103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic