Brian L Thorn, PHD | |
100 N Medical Dr, Slc, UT 84113-1103 | |
(801) 588-2000 | |
Not Available |
Full Name | Brian L Thorn |
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Gender | Male |
Speciality | Psychologist |
Location | 100 N Medical Dr, Slc, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417965518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 323069-2501 (Utah) | Primary |
Entity Name | University Of Utah Pediatric Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
Mailing Address | Practice Location Address |
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Brian L Thorn, PHD 100 N Medical Dr, Slc, UT 84113-1103 Ph: (801) 588-2000 | Brian L Thorn, PHD 100 N Medical Dr, Slc, UT 84113-1103 Ph: (801) 588-2000 |
Matthew Davis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Chipeta Way, Slc, UT 84108 Phone: 801-583-2500 | |
Dr. Lara Leishman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 231 E 400 S, Slc, UT 84111 Phone: 801-363-1189 Fax: 801-363-1198 | |
Dr. Melvin F. Nosanchuk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1646 Kensington Ave, Slc, UT 84105 Phone: 801-467-4875 Fax: 801-467-4875 | |
Wendy Dawn Hoyt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 349 E 900 S, Slc, UT 84111 Phone: 801-532-3614 | |
Dr. Tanya Michelle Miller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Dr, Slc, UT 84148 Phone: 801-582-1565 Fax: 801-584-2544 | |
Dr. Larry Brad Peck, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 44 N Medical Dr, Slc, UT 84113 Phone: 801-584-8533 |