| Mountain West Psychology Services | |
|
265 N Main St Ste D173 Kaysville UT 84037-1401 | |
| (801) 476-9616 | |
| (801) 476-6990 |
| Full Name | Mountain West Psychology Services |
|---|---|
| Speciality | Psychologist |
| Location | 265 N Main St Ste D173, Kaysville, Utah |
| Authorized Official Name and Position | Kent E Nabers (OWNER) |
| Authorized Official Contact | 8014766916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain West Psychology Services 265 N Main St Ste D173 Kaysville UT 84037-1401 Ph: (801) 476-6916 | Mountain West Psychology Services 265 N Main St Ste D173 Kaysville UT 84037-1401 Ph: (801) 476-9616 |
| NPI Number | 1285099846 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Medicare PECOS PAC ID | 8224328554 |
|---|---|
| Medicare Enrollment ID | O20161128002315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285099846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 30838252501 (Utah) | Primary |
| Provider Name | Kent E Nabers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649248683 PECOS PAC ID: 4981648268 Enrollment ID: I20050616001264 |
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