| Redwood Grove Diagnostics & Transitions Llc | |
|
757 S Main St Springville UT 84663-2452 | |
| (801) 491-2270 | |
| Not Available |
| Full Name | Redwood Grove Diagnostics & Transitions Llc |
|---|---|
| Speciality | Psychologist |
| Location | 757 S Main St, Springville, Utah |
| Authorized Official Name and Position | Christopher Tolen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8014912270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Grove Diagnostics & Transitions Llc 757 S Main St Springville UT 84663-2452 Ph: (801) 491-2270 | Redwood Grove Diagnostics & Transitions Llc 757 S Main St Springville UT 84663-2452 Ph: (801) 491-2270 |
| NPI Number | 1164970869 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164970869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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