Provider Demographics
NPI:1760573976
Name:OSHER, DAHVYN BISHOP (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAHVYN
Middle Name:BISHOP
Last Name:OSHER
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 1:718 GRAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-6763
Mailing Address - Country:US
Mailing Address - Phone:801-309-0629
Mailing Address - Fax:
Practice Address - Street 1:1725 EAST 1450 SOUTH
Practice Address - Street 2:SUITE 105
Practice Address - City:CLEARFIED
Practice Address - State:UT
Practice Address - Zip Code:84015
Practice Address - Country:US
Practice Address - Phone:801-773-0535
Practice Address - Fax:801-773-0536
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist