| Barbara Scoville Llc | |
|
5635 S Waterbury Way C202 Salt Lake City UT 84121-1184 | |
| (801) 278-0200 | |
| (801) 273-0322 |
| Full Name | Barbara Scoville Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5635 S Waterbury Way, Salt Lake City, Utah |
| Authorized Official Name and Position | Barbara Scoville (PRESIDENT) |
| Authorized Official Contact | 8019105385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Scoville Llc 5635 S Waterbury Way C202 Salt Lake City UT 84121-1184 Ph: (801) 278-0200 | Barbara Scoville Llc 5635 S Waterbury Way C202 Salt Lake City UT 84121-1184 Ph: (801) 278-0200 |
| NPI Number | 1679961346 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 2264755826 |
|---|---|
| Medicare Enrollment ID | O20150107000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679961346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Barbara A Scoville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538149141 PECOS PAC ID: 7810980190 Enrollment ID: I20040405000133 |
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