Wesley Daniel Spencer, | |
90 E 200 N, Logan, UT 84321-4034 | |
(435) 752-0750 | |
Not Available |
Full Name | Wesley Daniel Spencer |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 25 Years |
Location | 90 E 200 N, Logan, 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 |
---|---|---|---|
1750486809 | NPI | - | NPPES |
870401386SP1 | Other | UT | EMIA |
70578 | Other | UT | PEHP |
107003178101 | Other | UT | IHC PROVIDER NETWORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 4803198-2501 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bear River Mental Health Services Inc | 0840102356 | 16 |
Entity Name | Bear River Mental Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285736553 PECOS PAC ID: 0840102356 Enrollment ID: O20031103000725 |
Mailing Address | Practice Location Address |
---|---|
Wesley Daniel Spencer, 405 Edgewood Dr, Providence, UT 84332-9471 Ph: (435) 750-6118 | Wesley Daniel Spencer, 90 E 200 N, Logan, UT 84321-4034 Ph: (435) 752-0750 |
Dr. Monique R Frazier, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 246 E 1260 N, Logan, UT 84341 Phone: 435-750-6300 Fax: 435-753-8995 | |
Dr. Rick Anthony Cruz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6405 Old Main Hill, Logan, UT 84322 Phone: 435-797-3401 | |
Gretchen Gimpel Peacock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2810 Old Main Hl, Department Of Psychology, Logan, UT 84322 Phone: 435-797-0721 Fax: 435-797-1448 | |
Ms. Graca Maria De Oliveira Costa, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 90 E 200 N, Logan, UT 84321 Phone: 435-752-0750 | |
Dr. Kyle Max Hancock, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 246 E 1260 N, Logan, UT 84341 Phone: 435-750-6300 Fax: 435-753-8995 | |
Kevin Joseph Chi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 6055, Logan, UT 84341 Phone: 435-752-8880 Fax: 855-936-3283 | |
Dr. Steven Lucero, PHD, MBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 93 S 1250 E, Logan, UT 84321 Phone: 307-631-0148 |