Healthcare Provider Details

I. General information

NPI: 1962994590
Provider Name (Legal Business Name): COMPLETE EVALUATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 S 100 E STE 300
PAYSON UT
84651-2253
US

IV. Provider business mailing address

95 S 100 E STE 300
PAYSON UT
84651-2253
US

V. Phone/Fax

Practice location:
  • Phone: 806-317-6147
  • Fax:
Mailing address:
  • Phone: 801-382-9338
  • Fax: 801-383-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number10392545-2501
License Number StateUT

VIII. Authorized Official

Name: DR. LUKE MARVIN
Title or Position: OWNER/PSYCHOLOGIST
Credential: PHD
Phone: 801-382-9338