Stanley Carl Smoot, PHD | |
1300 E Center St, Provo, UT 84606-3554 | |
(801) 344-4400 | |
Not Available |
Full Name | Stanley Carl Smoot |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1300 E Center St, 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 |
---|---|---|---|
1356697908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 4913128-2501 (Utah) | Primary |
Entity Name | State Of Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195 |
Mailing Address | Practice Location Address |
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Stanley Carl Smoot, PHD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400 | Stanley Carl Smoot, PHD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400 |
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 |