| Barley Psychological Services Pc | |
|
1190 N 900 E 237 Tlrb Provo UT 84602-3536 | |
| (801) 422-7818 | |
| (801) 422-0163 |
| Full Name | Barley Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1190 N 900 E, Provo, Utah |
| Authorized Official Name and Position | Dean E. Barley (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8014227818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barley Psychological Services Pc 155 N 1000 E Orem UT 84097-5002 Ph: (801) 226-3178 | Barley Psychological Services Pc 1190 N 900 E 237 Tlrb Provo UT 84602-3536 Ph: (801) 422-7818 |
| NPI Number | 1780730002 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 9638101207 |
|---|---|
| Medicare Enrollment ID | O20050902000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780730002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 133172-2501 (Utah) | Primary |
| Provider Name | Dean E Barley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912179557 PECOS PAC ID: 4981636552 Enrollment ID: I20120321000733 |
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