| Teague Richard Cowley, | |
|
6300 Sagewood Dr Ste H-411, Park City, UT 84098-7502 | |
| (801) 382-8604 | |
| Not Available |
| Full Name | Teague Richard Cowley |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 6300 Sagewood Dr Ste H-411, Park 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 |
|---|---|---|---|
| 1831709559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | University of Utah Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
| Entity Name | University of Utah Pediatric Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Teague Richard Cowley, 6300 Sagewood Dr Ste H-411, Park City, UT 84098-7502 Ph: (801) 382-8604 | Teague Richard Cowley, 6300 Sagewood Dr Ste H-411, Park City, UT 84098-7502 Ph: (801) 382-8604 |
Margaret Ann Tan I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1753 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-8347 |
Rosalie Ripley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Highland Dr, Park City, UT 84098 Phone: 435-334-5576 |
Mr. Archibald Wright Iii, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3086 Fawn Dr, Park City, UT 84098 Phone: 435-776-6862 |
Shannon Weaver, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Pinebrook Rd Ste 1250b, Park City, UT 84098 Phone: 801-631-7476 |
Dr. Thomas Roger Peay, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 2559 Aspen Springs Dr, Park City, UT 84060 Phone: 801-376-8775 Fax: 435-604-0461 |
Amy Adair Bingham, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1753 Sidewinder Dr # 200, Park City, UT 84060 Phone: 435-649-8347 |
Kirstyn Besch, MA, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1283 Deer Valley Dr, Park City, UT 84060 Phone: 385-355-4338 |