Bethany Sue Ortiz, EDS, NCSP - Psychologist in South Salt Lake, UT

Bethany Sue Ortiz, EDS, NCSP is a Psychologist - School based in South Salt Lake, Utah. Bethany Sue Ortiz is licensed to practice in Utah (license number 745329) and her current practice location is 2500 S State St, South Salt Lake, Utah. She can be reached at her office (for appointments etc.) via phone at (385) 646-1641.

NPI number for Bethany Sue Ortiz is 1205573854 and her current mailing address is 213 W Civic Center Dr Apt 239, Sandy, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205573854.

Contact Information

Bethany Sue Ortiz, EDS, NCSP
2500 S State St,
South Salt Lake, UT 84115-3164
(385) 646-1641
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBethany Sue Ortiz
GenderFemale
SpecialityPsychologist - School
Location2500 S State St, South Salt Lake, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205573854
  • Provider Enumeration Date: 05/16/2022
  • Last Update Date: 05/18/2022

Medical Identifiers

Medical identifiers for Bethany Sue Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205573854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 745329 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Sue Ortiz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bethany Sue Ortiz, EDS, NCSP
213 W Civic Center Dr Apt 239,
Sandy, UT 84070-1230

Ph: (815) 530-9348
Bethany Sue Ortiz, EDS, NCSP
2500 S State St,
South Salt Lake, UT 84115-3164

Ph: (385) 646-1641

Reviews and Comments


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