MEDICARE: BETTER BALANCE PSYCHIATRY PLLC

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1811570609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER BALANCE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	120 E SAINT GEORGE BLVD STE 201
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-4040
Country	:	US
Telephone Number	:	435-879-7411
Fax Number	:

Provider Business Practice Location Address
First Line	:	4043 RIVERDALE RD # 1015
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84405-1717
Country	:	US
Telephone Number	:	385-393-6988
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN HENDLEMAN
Credential	:	DO
Telephone Number	:	435-879-7411

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	02/25/2022

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