Ted A Harris, PHD | |
5691 S Redwood Rd, Taylorsville, UT 84123-5322 | |
(801) 265-3895 | |
(801) 263-1265 |
Full Name | Ted A Harris |
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Gender | Male |
Speciality | Psychologist |
Location | 5691 S Redwood Rd, Taylorsville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033186382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 91-116205-2501 (Utah) | Primary |
Entity Name | Ted A. Harris, Phd, Licensed Psychologist, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487768826 PECOS PAC ID: 5890608236 Enrollment ID: O20031111000369 |
Mailing Address | Practice Location Address |
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Ted A Harris, PHD 5691 S Redwood Rd, Taylorsville, UT 84123-5322 Ph: (801) 265-3895 | Ted A Harris, PHD 5691 S Redwood Rd, Taylorsville, UT 84123-5322 Ph: (801) 265-3895 |
Dr. Stephanie Creekpaum, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7770 | |
Nancy L Cantor, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-588-3611 | |
Sarah Goldman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5991 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-266-2485 | |
Dr. Marcel C Chappuis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6129 Elsie Ct, Taylorsville, UT 84123 Phone: 801-261-4771 Fax: 801-261-4778 | |
Dr. Heidi Marie Block, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7834 | |
Dr. Karen Wheelock Malm, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5689 S Redwood Rd Unit 27, Taylorsville, UT 84123 Phone: 801-266-2485 Fax: 866-644-9206 |