| Chris Wehl, Ph.d., Inc. | |
|
505 E 200 S Suite 303 Salt Lake City UT 84102-2022 | |
| (801) 350-0115 | |
| (801) 350-9582 |
| Full Name | Chris Wehl, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 505 E 200 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Allison Eining (OFFICE MANAGER) |
| Authorized Official Contact | 8013503503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Wehl, Ph.d., Inc. 505 E 200 S Suite 303 Salt Lake City UT 84102-2022 Ph: (801) 350-0115 | Chris Wehl, Ph.d., Inc. 505 E 200 S Suite 303 Salt Lake City UT 84102-2022 Ph: (801) 350-0115 |
| NPI Number | 1396867479 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 03/26/2009 |
| Medicare PECOS PAC ID | 3779735675 |
|---|---|
| Medicare Enrollment ID | O20121128000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396867479 | NPI | - | NPPES |
| 562921865004 | Medicaid | UT | |
| U000572 | Other | UT | TRICARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 115392-2501 (Utah) | Primary |
| Provider Name | Chris Wehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184619561 PECOS PAC ID: 8628062684 Enrollment ID: I20040413000132 |
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