William Blake Paul, MA, LMFT | |
575 East 100 South, Price, UT 84501 | |
(435) 637-2358 | |
(435) 637-9141 |
Full Name | William Blake Paul |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 575 East 100 South, Price, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740468768 | NPI | - | NPPES |
MFC46551 | Other | CA | BBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC46551 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 10822129-3902 (Utah) | Primary |
Entity Name | Four Corners Community Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487715330 PECOS PAC ID: 2769377415 Enrollment ID: O20040220000304 |
Mailing Address | Practice Location Address |
---|---|
William Blake Paul, MA, LMFT Po Box 867, Price, UT 84501-0867 Ph: (435) 637-7200 | William Blake Paul, MA, LMFT 575 East 100 South, Price, UT 84501 Ph: (435) 637-2358 |
R. Quinn Nelson, M.S., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 W Price River Dr, Price, UT 84501 Phone: 435-637-2991 Fax: 435-637-1775 | |
Benjamin Leland Baldonado, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 W Price River Dr, Price, UT 84501 Phone: 435-637-2991 | |
Mrs. Naomi Hyde, MA, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 250 N Fairgrounds Rd Ste 2, Price, UT 84501 Phone: 801-845-4406 |