| Chiles Psychological Services | |
|
1477 N 2000 W Suite C Clinton UT 84015-8638 | |
| (801) 774-8888 | |
| (801) 825-8519 |
| Full Name | Chiles Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1477 N 2000 W, Clinton, Utah |
| Authorized Official Name and Position | Jeremy Austin Chiles (OWNER) |
| Authorized Official Contact | 8017748888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiles Psychological Services 1477 N 2000 W Suite C Clinton UT 84015-8638 Ph: (801) 774-8888 | Chiles Psychological Services 1477 N 2000 W Suite C Clinton UT 84015-8638 Ph: (801) 774-8888 |
| NPI Number | 1588938096 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588938096 | NPI | - | NPPES |
| 1538486097 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 376639-2501 (Utah) | Primary |
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