David Wieder, CMHC | |
1764 W Aspen Lane, Loa, UT 84747 | |
(505) 231-5031 | |
Not Available |
Full Name | David Wieder |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1764 W Aspen Lane, Loa, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598143703 | NPI | - | NPPES |
Entity Name | Counseling Associates Of Utah A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427695980 PECOS PAC ID: 3779904461 Enrollment ID: O20200604002381 |
Mailing Address | Practice Location Address |
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David Wieder, CMHC Po Box 1456, Lyman, UT 84749-1456 Ph: (505) 231-5031 | David Wieder, CMHC 1764 W Aspen Lane, Loa, UT 84747 Ph: (505) 231-5031 |
Devon Christopher Nanton, SUDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 W. Main St, Loa, UT 84747 Phone: 435-836-2272 Fax: 435-836-2274 | |
Mr. Michael Edgar Porter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 South Main, Loa, UT 84747 Phone: 435-624-3304 | |
Derek J Daley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 South Main St, Loa, UT 84747 Phone: 801-358-2974 | |
Michael Steven Petree, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 South Main Street, Loa, UT 84747 Phone: 435-836-2273 | |
Jake Giffuni, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1764 West Aspen Lane, Loa, UT 84747 Phone: 435-836-2272 | |
Ms. Veronica Malencia, Counselor Medicare: Medicare Enrolled Practice Location: 1764 W Aspen Lane, Loa, UT 84747 Phone: 435-836-2272 |