| Utah Center For Assesment & Treatment | |
|
890 Heritage Park Blvd Ste 104 Layton UT 84041-5656 | |
| (801) 784-7605 | |
| (801) 896-0175 |
| Full Name | Utah Center For Assesment & Treatment |
|---|---|
| Speciality | Psychologist |
| Location | 890 Heritage Park Blvd, Layton, Utah |
| Authorized Official Name and Position | Benjamin Christiansen (OWNER) |
| Authorized Official Contact | 8017847605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Center For Assesment & Treatment 890 Heritage Park Blvd Ste 104 Layton UT 84041-5656 Ph: (801) 784-7605 | Utah Center For Assesment & Treatment 890 Heritage Park Blvd Ste 104 Layton UT 84041-5656 Ph: (801) 784-7605 |
| NPI Number | 1568838183 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 4486963782 |
|---|---|
| Medicare Enrollment ID | O20151028001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568838183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Benjamin David Christiansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457632820 PECOS PAC ID: 5395054696 Enrollment ID: I20151028001562 |
| Provider Name | Eleanore Debbie Weese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588136485 PECOS PAC ID: 5890035877 Enrollment ID: I20190329001473 |
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