David Tate, PHD is a
Clinical Neuropsychologist based in Salt Lake City, Utah. David Tate is licensed to practice in Utah (license number 286133-2501) and his current practice location is
729 S Arapeen Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 132-1546.
NPI number for David Tate is 1568427664 and his current mailing address is Po Box 3238, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568427664.
Healthcare Provider's Profile
| Full Name | David Tate |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 729 S Arapeen Dr, Salt Lake City, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568427664
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 12/16/2021
Medical Identifiers
Medical identifiers for David Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568427664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS00895 (Rhode Island) | Secondary |
| 103TC0700X | Psychologist - Clinical | 36454 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 286133-2501 (Utah) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 286133-2501 (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. David Tate 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 Address | Practice Location Address |
|---|
David Tate, PHD
Po Box 3238,
Boston, MA 02241-3238
Ph: (866) 689-8862 | David Tate, PHD
729 S Arapeen Dr,
Salt Lake City, UT 84108-1218
Ph: (801) 132-1546 |
Reviews and Comments