| Stillwater Psychology, Llc | |
|
950 E 600 S Heber City UT 84032-4469 | |
| (435) 671-3683 | |
| Not Available |
| Full Name | Stillwater Psychology, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 950 E 600 S, Heber City, Utah |
| Authorized Official Name and Position | Brian Schaffer (OWNER) |
| Authorized Official Contact | 4356713683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Psychology, Llc 950 E 600 S Heber City UT 84032-4469 Ph: () - | Stillwater Psychology, Llc 950 E 600 S Heber City UT 84032-4469 Ph: (435) 671-3683 |
| NPI Number | 1164172375 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Medicare PECOS PAC ID | 6507201290 |
|---|---|
| Medicare Enrollment ID | O20240304003975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164172375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brian Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720123771 PECOS PAC ID: 3678730173 Enrollment ID: I20240304003993 |
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