| Whitehawk Consulting, P.c. | |
|
5801 Fashion Blvd Suite 250 Murray UT 84107-6159 | |
| (801) 913-5543 | |
| Not Available |
| Full Name | Whitehawk Consulting, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5801 Fashion Blvd, Murray, Utah |
| Authorized Official Name and Position | Denise Marie Boelens (PRESIDENT) |
| Authorized Official Contact | 8019135543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehawk Consulting, P.c. 5801 Fashion Blvd Suite 250 Murray UT 84107-6159 Ph: (801) 913-5543 | Whitehawk Consulting, P.c. 5801 Fashion Blvd Suite 250 Murray UT 84107-6159 Ph: (801) 913-5543 |
| NPI Number | 1063685295 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 01/19/2011 |
| Medicare PECOS PAC ID | 5193804243 |
|---|---|
| Medicare Enrollment ID | O20080501000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063685295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 110944-2501 (Utah) | Primary |
| Provider Name | Denise M Boelens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023077062 PECOS PAC ID: 4688752199 Enrollment ID: I20080424000304 |
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