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NPI Code Detail

MEDICARE: DILLON HARPER PSYCHOLOGIST

MEDICARE: DILLON HARPER PSYCHOLOGIST
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
1103T00000XPsychologist14015764-2501UT

General Provider Information

NPI Number : 1467287524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILLON HARPER PSYCHOLOGIST
Provider Business Mailing Address
First Line : 233 S PLEASANT GROVE BLVD STE 203
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-2878
Country : US
Telephone Number : 801-785-4622
Fax Number :
Provider Business Practice Location Address
First Line : 233 S PLEASANT GROVE BLVD STE 203
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-2878
Country : US
Telephone Number : 801-785-4622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 09/06/2024

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Directions to “ DILLON HARPER PSYCHOLOGIST” Practice Location

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