| Raymond Antonio Archuleta Jr, LCSW | |
|
721 E 12200 S Ste 101, Draper, UT 84020-9723 | |
| (801) 369-8989 | |
| (801) 704-9741 |
| Full Name | Raymond Antonio Archuleta Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 721 E 12200 S Ste 101, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366173171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10919338-3501 (Utah) | Primary |
| Entity Name | Cedar Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Antonio Archuleta Jr, LCSW 721 E 12200 S Ste 101, Draper, UT 84020-9723 Ph: (801) 369-8989 | Raymond Antonio Archuleta Jr, LCSW 721 E 12200 S Ste 101, Draper, UT 84020-9723 Ph: (801) 369-8989 |
Suzanne Hinds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14009 S Hawberry Rd, Draper, UT 84020 Phone: 801-791-1588 | |
Marilee Woolstenhulme, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Election Rd Ste 1, Draper, UT 84020 Phone: 801-525-4645 | |
Jessica Paix Williamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11618 S State St Ste 1604, Draper, UT 84020 Phone: 385-202-5645 | |
Yvonne Tinajero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12222 S 1000 E, Draper, UT 84020 Phone: 801-987-3592 | |
Mrs. Lydia Anne Bailey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 W Election Rd Ste 110, Draper, UT 84020 Phone: 801-525-4645 | |
Charlize Brielle Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11576 S State St Ste 1202a, Draper, UT 84020 Phone: 385-365-5881 | |
Mrs. Ashley Mcculloch, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11650 S State St Ste 104, Draper, UT 84020 Phone: 801-867-3472 |