| Wasatch Psychological Consultants | |
|
136 Heber Ave Suite 204 Park City UT 84060-5131 | |
| (435) 647-2911 | |
| Not Available |
| Full Name | Wasatch Psychological Consultants |
|---|---|
| Speciality | Clinic/Center |
| Location | 136 Heber Ave, Park City, Utah |
| Authorized Official Name and Position | John R Taylor (PSYCHOLOGIST) |
| Authorized Official Contact | 4356472911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Psychological Consultants 136 Heber Ave Suite 204 Park City UT 84060-5131 Ph: (435) 647-2911 | Wasatch Psychological Consultants 136 Heber Ave Suite 204 Park City UT 84060-5131 Ph: (435) 647-2911 |
| NPI Number | 1841507308 |
|---|---|
| Provider Enumeration Date | 09/06/2010 |
| Last Update Date | 09/06/2010 |
| Medicare PECOS PAC ID | 7618160979 |
|---|---|
| Medicare Enrollment ID | O20101019000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841507308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 114801-2501 (Utah) | Primary |
| Provider Name | John R Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659431401 PECOS PAC ID: 3274726534 Enrollment ID: I20101019000844 |
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