| Spiel Psychological Services | |
|
8074 S 1300 E Sandy UT 84094-0743 | |
| (801) 565-6500 | |
| (801) 294-6917 |
| Full Name | Spiel Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 8074 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | Craig F Spiel (SOLE MEMBER) |
| Authorized Official Contact | 7402745795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiel Psychological Services Po Box 307 Bountiful UT 84011-0307 Ph: (801) 294-6907 | Spiel Psychological Services 8074 S 1300 E Sandy UT 84094-0743 Ph: (801) 565-6500 |
| NPI Number | 1528578077 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 2062779358 |
|---|---|
| Medicare Enrollment ID | O20171121001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528578077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 10181975-2501 (Utah) | Primary |
| Provider Name | Craig Freeman Spiel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669647616 PECOS PAC ID: 3274800818 Enrollment ID: I20170601001770 |
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