| William Blake Paul, MA, LMFT | |
|
575 East 100 South, Price, UT 84501 | |
| (435) 637-2358 | |
| (435) 637-9141 |
| Full Name | William Blake Paul |
|---|---|
| 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 |
|---|---|
| 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 |