| Mr Derek Paul Davis, LCSW | |
|
1300 E Center St, Provo, UT 84606-3554 | |
| (801) 344-4215 | |
| Not Available |
| Full Name | Mr Derek Paul Davis |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1300 E Center St, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386624625 | NPI | - | NPPES |
| 107001373101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| 261878 | Other | UT | DESERET MUTUAL |
| 942938348DAV | Other | UT | EDUCATORS MUTUAL |
| 942938348 | Other | UT | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 139877-3501 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek Paul Davis, LCSW Po Box 270, Provo, UT 84603-0270 Ph: (801) 344-4400 | Mr Derek Paul Davis, LCSW 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4215 |
Dallas Bean, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W Ste 300, Provo, UT 84601 Phone: 801-373-4760 | |
Brenna Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 | |
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394 | |
William Kory Camp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 | |
Benjamin Theurer, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032 |