Wesley Daniel Spencer in Logan - Clinical
Wesley Daniel Spencer - NPI 1750486809
Wesley Daniel Spencer is a Clinical in Logan, Utah. Wesley Daniel Spencer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wesley Daniel Spencer is 1750486809. The last update date is 2007-07-08.
Wesley Daniel Spencer's current location address is 90 E 200 N, Logan, Utah. You can contact this provider via phone number 4357520750. The mailing address for Wesley Daniel Spencer is 90 E 200 N, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wesley Daniel Spencer |
|---|---|
| Address | 90 E 200 N, Logan, Utah |
| Phone Number | 4357520750 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750486809 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 90 E 200 N |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843214034 |
| Phone Number | 4357520750 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4803198-2501 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870401386SP1 | UT | EMIA | |
| 70578 | UT | PEHP | |
| 107003178101 | UT | IHC PROVIDER NETWORK |
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What is the unique identification code assigned to Wesley Daniel Spencer by the Centers for Medicare & Medicaid Services?
The Wesley Daniel Spencer has been issued the NPI (National Provider Identifier) 1750486809. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wesley Daniel Spencer located?
The Wesley Daniel Spencer is located at 90 E 200 N, Logan, UT 843214034.
What is Wesley Daniel Spencer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wesley Daniel Spencer is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did the Wesley Daniel Spencer receive its 1750486809?
The Wesley Daniel Spencer was issued its 1750486809 on 2006-09-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Wesley Daniel Spencer most recently updated or refreshed?
The details pertaining to the Wesley Daniel Spencer, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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