| Alliance Psychology, Llc | |
|
363 E 1200 S Suite 201 Orem UT 84058-6904 | |
| (801) 224-2313 | |
| (801) 224-4475 |
| Full Name | Alliance Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 363 E 1200 S, Orem, Utah |
| Authorized Official Name and Position | Ryan Balagna (OWNER) |
| Authorized Official Contact | 8012242313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Psychology, Llc 363 E 1200 S Suite 201 Orem UT 84058-6904 Ph: (801) 224-2313 | Alliance Psychology, Llc 363 E 1200 S Suite 201 Orem UT 84058-6904 Ph: (801) 224-2313 |
| NPI Number | 1851583710 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 1355436791 |
|---|---|
| Medicare Enrollment ID | O20071001000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851583710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Bradley L Edgington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073545463 PECOS PAC ID: 3476546516 Enrollment ID: I20040406000077 |
| Provider Name | Ryan M Balagna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346557428 PECOS PAC ID: 5991990384 Enrollment ID: I20101111000093 |
| Provider Name | Jason A Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992002257 PECOS PAC ID: 7618236324 Enrollment ID: I20180125000388 |
| Provider Name | Risa T Fetters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093390387 PECOS PAC ID: 5597174748 Enrollment ID: I20210429001757 |
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