Matthew Januzik, MA | |
750 N Freedom Blvd, Provo, UT 84601-1677 | |
(801) 373-4760 | |
(801) 373-0639 |
Full Name | Matthew Januzik |
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Gender | Male |
Speciality | Psychologist |
Location | 750 N Freedom Blvd, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376187898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 13683030-2504 (Utah) | Primary |
Entity Name | Wasatch Behavioral Health Special Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
Mailing Address | Practice Location Address |
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Matthew Januzik, MA 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Matthew Januzik, MA 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
Eliza Rachelle Gedge, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-0639 Fax: 801-373-0639 | |
Eric Ghelfi, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 803, Provo, UT 84604 Phone: 801-235-7246 | |
Dr. Jeffrey Bentley, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 803, Provo, UT 84604 Phone: 801-235-7246 | |
Vaughn E Worthen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1545 Wsc, Provo, UT 84602 Phone: 801-471-6266 | |
Prof. Benjamin Mckay Ogles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-8193 | |
Dr. Kari A O'grady, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 Springdell Cir, Provo, UT 84604 Phone: 410-952-2207 | |
Michaela Shields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 |