Dr Kent W Anderson, PHD | |
545 W 465 N, Suite 130, Providence, UT 84332-8003 | |
(435) 752-7627 | |
(435) 752-7802 |
Full Name | Dr Kent W Anderson |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 30 Years |
Location | 545 W 465 N, Providence, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932231016 | NPI | - | NPPES |
292486 | Other | UT | DMBA |
52082 | Other | UT | PEHP |
107007866101 | Other | UT | IHC |
870621775AN2 | Other | UT | EDUCATORS MUTUAL INSURANC |
870621775 | Other | UT | TAX IDENTIFICATION # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 324469-2501 (Utah) | Primary |
Entity Name | Kent W Anderson Phd Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255662425 PECOS PAC ID: 2961546783 Enrollment ID: O20100217000687 |
Mailing Address | Practice Location Address |
---|---|
Dr Kent W Anderson, PHD 545 W 465 N, Suite 130, Providence, UT 84332-8003 Ph: (435) 752-7627 | Dr Kent W Anderson, PHD 545 W 465 N, Suite 130, Providence, UT 84332-8003 Ph: (435) 752-7627 |
Mrs. Nicole Christine Groskreutz, MSED, BCBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 521 Rockwood Cir, Providence, UT 84332 Phone: 508-423-1007 | |
Dr. Russell David Seigenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 191 E 450 N, Providence, UT 84332 Phone: 435-764-3206 Fax: 435-752-0226 | |
Emily Miranda Curdy, RBT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 545 W 465 N Ste 100, Providence, UT 84332 Phone: 143-575-3660 | |
Dr. Ronald Patterson Houston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 169 Spring Creek Pkwy, Suite 235, Providence, UT 84332 Phone: 435-750-7063 Fax: 435-750-7063 | |
Dr. Thomas E. Atkin Psy.d.d., LICENSED CLINICAL PS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 545 West 465 North, Ste. #130, Providence, UT 84332 Phone: 435-792-0355 Fax: 435-792-3630 | |
Jeffrey Rush, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 351 Meadow Ln, Providence, UT 84332 Phone: 435-757-3562 |