Derry L Brinley, DO | |
474 W 200 N, Suite 200, St George, UT 84770-4505 | |
(435) 634-5600 | |
(435) 986-8700 |
Full Name | Derry L Brinley |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 474 W 200 N, St George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972726800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 274086-1204 (Utah) | Primary |
Entity Name | Uhs Of Provo Canyon Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457617409 PECOS PAC ID: 8729250543 Enrollment ID: O20121015000587 |
Mailing Address | Practice Location Address |
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Derry L Brinley, DO 474 W 200 N, Suite 300, St George, UT 84770-4505 Ph: (435) 634-5600 | Derry L Brinley, DO 474 W 200 N, Suite 200, St George, UT 84770-4505 Ph: (435) 634-5600 |
Dr. Christina J Durham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 166 N 300 W, Suite 1, St George, UT 84770 Phone: 435-688-9471 Fax: 435-688-9478 | |
Tim R Kockler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1224 S. River Road, Suite 221, St George, UT 84790 Phone: 435-632-1445 Fax: 435-688-1091 | |
David Brent Tate, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 321 N Mall Dr, Suite I-201, St George, UT 84790 Phone: 435-656-0506 Fax: 435-272-4009 | |
Dr. Virgil W. Brockbank, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2480 Red Cliffs Dr, St George, UT 84790 Phone: 435-673-6446 Fax: 435-652-8020 | |
Paul Staheli, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 474 W 200 N, Suite 100, St George, UT 84770 Phone: 435-634-5600 Fax: 435-986-8700 | |
Allen Garrett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N, St George, UT 84770 Phone: 435-634-5600 | |
Chauncey Sandberg Adams, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 544 S 400 E, St George, UT 84770 Phone: 435-688-4343 |