Pamela Diane Huckaby, LCSW | |
663 W 950 S, Brigham City, UT 84302-3021 | |
(435) 734-9449 | |
(435) 723-4851 |
Full Name | Pamela Diane Huckaby |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 663 W 950 S, Brigham City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750679122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10387650-3501 (Utah) | Primary |
Entity Name | Peterson Medical Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20200422001519 |
Mailing Address | Practice Location Address |
---|---|
Pamela Diane Huckaby, LCSW 663 W 950 S, Brigham City, UT 84302-3021 Ph: (435) 734-9449 | Pamela Diane Huckaby, LCSW 663 W 950 S, Brigham City, UT 84302-3021 Ph: (435) 734-9449 |
Tyler Beckstrand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St, Brigham City, UT 84302 Phone: 435-723-2881 | |
Alejandra Millsap, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 S Main St, Brigham City, UT 84302 Phone: 435-239-8768 | |
Stephen James Hoffman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 980 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-8276 Fax: 435-734-9761 | |
Tiffany Burnhope, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 663 Parker Lane, Brigham City, UT 84302 Phone: 435-734-9449 | |
Mrs. Melissa D Jex, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 862 S Main St, Brigham City, UT 84302 Phone: 435-723-1799 | |
Bryan Kurt Rieben, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 663 W 950 S, Brigham City, UT 84302 Phone: 435-734-9449 Fax: 435-723-4851 | |
Tina Peck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 W 400 N Ste 1, Brigham City, UT 84302 Phone: 435-494-1557 |