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NPI Code Detail

MEDICARE: CHRIS WEHL, PH.D., INC.

MEDICARE: CHRIS WEHL, PH.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist115392-2501UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2U000572OTHERUTTRICARE PROVIDER ID

General Provider Information

NPI Number : 1396867479
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRIS WEHL, PH.D., INC.
Provider Business Mailing Address
First Line : 505 E 200 S
Second Line : SUITE 303
City : SALT LAKE CITY
State : UT
Zip : 84102-2022
Country : US
Telephone Number : 801-350-0115
Fax Number : 801-350-9582
Provider Business Practice Location Address
First Line : 505 E 200 S
Second Line : SUITE 303
City : SALT LAKE CITY
State : UT
Zip : 84102-2022
Country : US
Telephone Number : 801-350-0115
Fax Number : 801-350-9582
Authorized Official
Title or Position : OFFICE MANAGER
Name : ALLISON EINING
Credential :
Telephone Number : 801-350-3503
Provider Enumeration Date : 04/06/2007
Last Update Date : 03/26/2009

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