| Utah Neurotherapy Center | |
|
129 S State St Ste 250 Clearfield UT 84015-1116 | |
| (801) 855-7999 | |
| (801) 855-7999 |
| Full Name | Utah Neurotherapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 129 S State St Ste 250, Clearfield, Utah |
| Authorized Official Name and Position | Jeffrey Charles Bright (PARTNER) |
| Authorized Official Contact | 8015298279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Neurotherapy Center 129 S State St Ste 250 Clearfield UT 84015-1116 Ph: (801) 529-8279 | Utah Neurotherapy Center 129 S State St Ste 250 Clearfield UT 84015-1116 Ph: (801) 855-7999 |
| NPI Number | 1033410048 |
|---|---|
| Provider Enumeration Date | 11/07/2010 |
| Last Update Date | 12/27/2018 |
| Medicare PECOS PAC ID | 4284058157 |
|---|---|
| Medicare Enrollment ID | O20200724000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033410048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6783831-3501 (Utah) | Primary |
| Provider Name | Brandy Lynn Routson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194030924 PECOS PAC ID: 7618391582 Enrollment ID: I20200724000622 |
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