| Lyndsey Evans, | |
|
415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | |
| (801) 683-1062 | |
| (801) 295-5537 |
| Full Name | Lyndsey Evans |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 415 Medical Dr Ste D101, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053870626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 11264142-2501 (Utah) | Primary |
| Entity Name | Neurobehavioral Center For Growth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942641931 PECOS PAC ID: 4183859622 Enrollment ID: O20131108000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndsey Evans, 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 Ph: () - | Lyndsey Evans, 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 Ph: (801) 683-1062 |
Dr. Donald Randall, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2186 | |
Hannah Melelani Myers Johnson, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1459 N Main St Ste 100, Bountiful, UT 84010 Phone: 801-298-2000 | |
Dr. Eden Deanne Steffey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537 | |
Genesis D Reverol, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste A100, Bountiful, UT 84010 Phone: 801-683-1062 | |
Dr. Jerry Lynn Sandberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1470 N Main St Ste B, Bountiful, UT 84010 Phone: 801-299-9026 Fax: 801-299-9026 | |
Fred Brooks, M.ED; ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537 |