Phillip Clifton Sorenson, LMFT | |
580 E 600 S, Provo, UT 84606-4806 | |
(801) 852-3789 | |
Not Available |
Full Name | Phillip Clifton Sorenson |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 580 E 600 S, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174048920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 10387129-3902 (Utah) | 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 |
---|---|
Phillip Clifton Sorenson, LMFT 848 W 500 N, Provo, UT 84601-2535 Ph: (806) 441-8736 | Phillip Clifton Sorenson, LMFT 580 E 600 S, Provo, UT 84606-4806 Ph: (801) 852-3789 |
Dr. Shayne Anderson, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 262 Taylor Building, Brigham Young University, Provo, UT 84602 Phone: 801-422-6416 | |
Mr. Mark J Mauzy, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 755 S 400 W, Provo, UT 84601 Phone: 801-422-7620 | |
Taylor Madsen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3549 N University Ave Ste 200, Provo, UT 84604 Phone: 385-448-0310 | |
Tabitha Nicole Webster, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Gary Barlow Lundberg, M.A. - LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3680 Little Rock Dr, Provo, UT 84604 Phone: 801-224-3447 Fax: 800-122-4345 | |
Mr. Adrian Kupper Baures, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 151 S University Ave, Suite 1400, Provo, UT 84601 Phone: 801-851-7127 Fax: 801-851-7186 | |
Boone R Christianson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3210 N Canyon Rd Ste 204, Provo, UT 84604 Phone: 385-241-1046 |