Neuropsychology Center Of Utah | |
1477 N 2000 W Suite E Clinton UT 84015-8638 | |
(801) 614-5866 | |
(801) 825-1162 |
Full Name | Neuropsychology Center Of Utah |
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Speciality | Clinical Neuropsychologist |
Location | 1477 N 2000 W, Clinton, Utah |
Authorized Official Name and Position | Adam J Schwebach (OWNER / PSYCHOLOGIST) |
Authorized Official Contact | 8016145866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychology Center Of Utah Po Box 95970 South Jordan UT 84095-0970 Ph: (800) 658-8556 | Neuropsychology Center Of Utah 1477 N 2000 W Suite E Clinton UT 84015-8638 Ph: (801) 614-5866 |
NPI Number | 1124313085 |
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Provider Enumeration Date | 06/17/2011 |
Last Update Date | 06/12/2013 |
Medicare PECOS PAC ID | 5092985788 |
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Medicare Enrollment ID | O20110907001582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124313085 | NPI | - | NPPES |
1780837047 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | 360871-2501 (Utah) | Primary |
Provider Name | Adam J Schwebach |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780837047 PECOS PAC ID: 7719157403 Enrollment ID: I20110907001588 |
Provider Name | Connie Powell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215156286 PECOS PAC ID: 1658619770 Enrollment ID: I20190215001510 |
Provider Name | Nicole K Wardell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801139613 PECOS PAC ID: 9739567629 Enrollment ID: I20220606001083 |
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Alta Behavioral Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1448 N 2000 W Ste 10, Clinton, UT 84015 Phone: 801-613-2585 | |
Sharen T Dodd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1448 N 2000 W Ste 10, Clinton, UT 84015 Phone: 801-820-6580 Fax: 801-614-8326 | |
Chiles Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Suite C, Clinton, UT 84015 Phone: 801-774-8888 Fax: 801-825-8519 |