| Beall Psychological Services Pc | |
|
32 W Winchester St Suite 101 Salt Lake City UT 84107-5607 | |
| (801) 897-5474 | |
| Not Available |
| Full Name | Beall Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 32 W Winchester St, Salt Lake City, Utah |
| Authorized Official Name and Position | Lawrence Dalton Beall (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 8018975474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beall Psychological Services Pc Po Box 902650 Sandy UT 84090-2650 Ph: (801) 897-5474 | Beall Psychological Services Pc 32 W Winchester St Suite 101 Salt Lake City UT 84107-5607 Ph: (801) 897-5474 |
| NPI Number | 1952619397 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 1951787647 |
|---|---|
| Medicare Enrollment ID | O20221004001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952619397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 270228-2501 (Utah) | Primary |
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