Benita Quakenbush-roberts, PHD is a
Psychologist based in Mendon, Utah. Benita Quakenbush-roberts is licensed to practice in Utah (license number 376641-2501) and her current practice location is
7852 W 600 N, Mendon, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 789-3865.
NPI number for Benita Quakenbush-roberts is 1578665626 and her current mailing address is Po Box 790102, Vernal, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578665626.
Healthcare Provider's Profile
Full Name | Benita Quakenbush-roberts |
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Gender | Female |
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Speciality | Psychologist |
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Location | 7852 W 600 N, Mendon, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578665626
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Benita Quakenbush-roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578665626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 376641-2501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benita Quakenbush-roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Benita Quakenbush-roberts, PHD Po Box 790102, Vernal, UT 84079-0102 Ph: (435) 789-3865 | Benita Quakenbush-roberts, PHD 7852 W 600 N, Mendon, UT 84325-9706 Ph: (435) 789-3865 |
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