| Paul Staheli, PHD | |
|
474 W 200 N, Suite 100, St George, UT 84770-4505 | |
| (435) 634-5600 | |
| (435) 986-8700 |
| Full Name | Paul Staheli |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 474 W 200 N, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215065958 | NPI | - | NPPES |
| 333120-2501 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 333120-2501 (Utah) | Primary |
| Entity Name | Southwest Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053586 PECOS PAC ID: 0941246086 Enrollment ID: O20050629000639 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Staheli, PHD 474 W 200 N, Suite 300, St George, UT 84770-4505 Ph: (435) 634-5600 | Paul Staheli, PHD 474 W 200 N, Suite 100, St George, UT 84770-4505 Ph: (435) 634-5600 |
Dr. Charlotte Esplin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1363 E 170 S Ste 202, St George, UT 84790 Phone: 435-227-5260 | |
Dr. Christina J Durham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 166 N 300 W, Suite 1, St George, UT 84770 Phone: 435-688-9471 Fax: 435-688-9478 | |
Tim R Kockler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1224 S. River Road, Suite 221, St George, UT 84790 Phone: 435-632-1445 Fax: 435-688-1091 | |
David Brent Tate, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 321 N Mall Dr, Suite I-201, St George, UT 84790 Phone: 435-656-0506 Fax: 435-272-4009 | |
Dr. Virgil W. Brockbank, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2480 Red Cliffs Dr, St George, UT 84790 Phone: 435-673-6446 Fax: 435-652-8020 | |
Hannah Greeley, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3439 S Barcelona Dr Unit 95, St George, UT 84790 Phone: 281-900-5172 |