| Mark Chamberlain, | |
|
285 W 800 S, Roosevelt, UT 84066-3707 | |
| (435) 725-6300 | |
| (435) 725-6325 |
| Full Name | Mark Chamberlain |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 285 W 800 S, Roosevelt, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447444906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 317549-2501 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Chamberlain, 1087 W 100 S, Layton, UT 84041-5266 Ph: (435) 725-6300 | Mark Chamberlain, 285 W 800 S, Roosevelt, UT 84066-3707 Ph: (435) 725-6300 |
Leon Harvey Butler, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 |
Alicia E Taylor, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 |