| Utah Valley Psychiatry & Counseling | |
|
395 W Bulldog Blvd Ste 601 Provo UT 84604-3331 | |
| (801) 357-7525 | |
| Not Available |
| Full Name | Utah Valley Psychiatry & Counseling |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 395 W Bulldog Blvd Ste 601, Provo, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP - CHIEF PHY EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Valley Psychiatry & Counseling Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 357-7525 | Utah Valley Psychiatry & Counseling 395 W Bulldog Blvd Ste 601 Provo UT 84604-3331 Ph: (801) 357-7525 |
| NPI Number | 1871847434 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871847434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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