| Psychological Assessment & Treatment Specialists, Inc | |
|
814 Bamberger Dr Suite B American Fork UT 84003-2165 | |
| (801) 772-0202 | |
| (801) 772-0139 |
| Full Name | Psychological Assessment & Treatment Specialists, Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 814 Bamberger Dr, American Fork, Utah |
| Authorized Official Name and Position | Steven M Gentry (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8017720202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Assessment & Treatment Specialists, Inc 814 Bamberger Dr Suite B American Fork UT 84003-2165 Ph: (801) 772-0202 | Psychological Assessment & Treatment Specialists, Inc 814 Bamberger Dr Suite B American Fork UT 84003-2165 Ph: (801) 772-0202 |
| NPI Number | 1417038951 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417038951 | NPI | - | NPPES |
| 529217859009 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 276564-2501 (Utah) | Primary |
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