| Emily Young Bullock, PSYD | |
|
240 N East Promontory Ste 200, Farmington, UT 84025-2950 | |
| (801) 844-1615 | |
| (844) 221-4750 |
| Full Name | Emily Young Bullock |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 16 Years |
| Location | 240 N East Promontory Ste 200, Farmington, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760670962 | NPI | - | NPPES |
| 7510289-2501 | Other | UT | LICENSED PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Salt Lake Wellness Inc | 4789985680 | 5 |
| Entity Name | Great Salt Lake Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790152940 PECOS PAC ID: 4789985680 Enrollment ID: O20151218000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Young Bullock, PSYD 240 N East Promontory Ste 200, Farmington, UT 84025-2950 Ph: (801) 844-1615 | Emily Young Bullock, PSYD 240 N East Promontory Ste 200, Farmington, UT 84025-2950 Ph: (801) 844-1615 |
Emma Mansour, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 120, Farmington, UT 84025 Phone: 385-219-4980 | |
Madison Radcliffe, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 E State St, Farmington, UT 84025 Phone: 801-402-5261 | |
Dr. Dallas Empey, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 653 N Main St, Suite 100, Farmington, UT 84025 Phone: 801-644-9244 Fax: 801-451-9802 | |
Bethanie Monsen, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 E State St, Farmington, UT 84025 Phone: 801-402-5134 | |
Dr. Aimee Danielle Sanders, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 240 N East Promontory Ste 200, Farmington, UT 84025 Phone: 303-325-4171 | |
Dawn S. Mcdonald, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 E State St, Farmington, UT 84025 Phone: 801-402-5136 |