| M Ford Mcbride, Phd, Pc | |
|
1055 N 300 W 414 Provo UT 84604-3344 | |
| (801) 357-7757 | |
| (801) 357-8100 |
| Full Name | M Ford Mcbride, Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1055 N 300 W, Provo, Utah |
| Authorized Official Name and Position | Max Ford Mcbride (PRESIDENT) |
| Authorized Official Contact | 8013577757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Ford Mcbride, Phd, Pc 1055 N 300 W 414 Provo UT 84604-3344 Ph: (801) 357-7757 | M Ford Mcbride, Phd, Pc 1055 N 300 W 414 Provo UT 84604-3344 Ph: (801) 357-7757 |
| NPI Number | 1407015787 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 4385716414 |
|---|---|
| Medicare Enrollment ID | O20080708000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407015787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 109867-2501 (Utah) | Primary |
| Provider Name | Max Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083793467 PECOS PAC ID: 7315019445 Enrollment ID: I20080708000080 |
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