Spiah Charias Perza, LCSW | |
1441 Ne 10th Ave, Payette, ID 83661-5420 | |
(801) 373-4760 | |
(801) 373-0639 |
Full Name | Spiah Charias Perza |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1441 Ne 10th Ave, Payette, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952856726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Valley Family Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407886484 PECOS PAC ID: 0547169591 Enrollment ID: O20040108000205 |
Mailing Address | Practice Location Address |
---|---|
Spiah Charias Perza, LCSW 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Spiah Charias Perza, LCSW 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (801) 373-4760 |
Erica Rose Moyer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Payette, ID 83661 Phone: 208-405-0020 | |
Danielle Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Payette, ID 83661 Phone: 208-405-0020 Fax: 208-739-4425 | |
Rebecca Jolene Long, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Payette, ID 83661 Phone: 208-405-0020 | |
Mrs. Penny L Dunham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 N 16th St, Payette, ID 83661 Phone: 208-642-6416 Fax: 208-642-2829 | |
Shirley Murata, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Savannah Jo Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Payette, ID 83661 Phone: 120-840-5002 | |
Rebecca L Richardson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Payette, ID 83661 Phone: 208-405-0020 Fax: 208-739-4425 |