| Psychology Specialists Of Utah Llc | |
|
87 N 600 E Centerville UT 84014-2020 | |
| (405) 315-5756 | |
| Not Available |
| Full Name | Psychology Specialists Of Utah Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 87 N 600 E, Centerville, Utah |
| Authorized Official Name and Position | Carl Robert Edgington (OWNER) |
| Authorized Official Contact | 4053155756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Specialists Of Utah Llc 87 N 600 E Centerville UT 84014-2020 Ph: (405) 315-5756 | Psychology Specialists Of Utah Llc 87 N 600 E Centerville UT 84014-2020 Ph: (405) 315-5756 |
| NPI Number | 1649860644 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649860644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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