Mr Dale J Harris, MS LMFT | |
322 E Gateway Dr Ste 103-7, Heber City, UT 84032-4610 | |
(970) 812-7006 | |
Not Available |
Full Name | Mr Dale J Harris |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 322 E Gateway Dr Ste 103-7, Heber City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447414743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 8779842-3902 (Utah) | Secondary |
106H00000X | Marriage & Family Therapist | 826 (Colorado) | Primary |
Entity Name | Wasatch Behavioral Health Special Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
Mailing Address | Practice Location Address |
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Mr Dale J Harris, MS LMFT 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Mr Dale J Harris, MS LMFT 322 E Gateway Dr Ste 103-7, Heber City, UT 84032-4610 Ph: (970) 812-7006 |
Alicia M Power, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 South 500 North, Heber City, UT 84032 Phone: 435-654-3003 | |
Ms. Pamela Gail Testi, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 510 S 980 E, Heber City, UT 84032 Phone: 949-485-0580 | |
Chad Shubin, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 55 S 500 E, Heber City, UT 84032 Phone: 435-654-3003 Fax: 435-654-0309 | |
Danielle Town, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1181 E Center St, Heber City, UT 84032 Phone: 651-808-7699 | |
Shane A Whiting, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3725 S Big Hollow Rd, Heber City, UT 84032 Phone: 435-709-7050 Fax: 801-904-0077 |