Spencer G Donovan, LMFT | |
255 South State Street Office 8, Roosevelt, UT 84066-2983 | |
(435) 823-2367 | |
Not Available |
Full Name | Spencer G Donovan |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 255 South State Street Office 8, Roosevelt, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316318918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 9526166-3902 (Utah) | Primary |
Entity Name | Valiant Endeavors Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144082280 PECOS PAC ID: 3779921390 Enrollment ID: O20240402002339 |
Mailing Address | Practice Location Address |
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Spencer G Donovan, LMFT 255 South State Street Office 8, Roosevelt, UT 84066-2983 Ph: (435) 823-2367 | Spencer G Donovan, LMFT 255 South State Street Office 8, Roosevelt, UT 84066-2983 Ph: (435) 823-2367 |
Preston David Kadleck, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Mr. Brent E Crane, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 1548, Roosevelt, UT 84066 Phone: 435-722-5656 | |
Mr. Daniel Evan Colver, DBH, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 210 W 300 N Ste 350, Roosevelt, UT 84066 Phone: 435-247-4279 | |
Robert A Nielson, MS, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4270 W 5625 N, Roosevelt, UT 84066 Phone: 435-353-4498 Fax: 435-353-4898 |