| David Newbold Phd & Associates, Llc | |
|
370 S 500 E Suite 180 Clearfield UT 84015-4057 | |
| (801) 776-1954 | |
| (801) 774-9602 |
| Full Name | David Newbold Phd & Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 370 S 500 E, Clearfield, Utah |
| Authorized Official Name and Position | David Newbold (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8017761954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Newbold Phd & Associates, Llc Po Box 212 Kaysville UT 84037-0212 Ph: (801) 776-1954 | David Newbold Phd & Associates, Llc 370 S 500 E Suite 180 Clearfield UT 84015-4057 Ph: (801) 776-1954 |
| NPI Number | 1578643771 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 2163500679 |
|---|---|
| Medicare Enrollment ID | O20080424000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578643771 | NPI | - | NPPES |
| 529780736017 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 841122042501 (Utah) | Primary |
| Provider Name | David Newbold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831376037 PECOS PAC ID: 5092892067 Enrollment ID: I20080402000181 |
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