DR. STEVAN LARS NIELSEN


Address: 1526 Wsc, Byu, Provo, UT 84602
Phone: 8014223035

DR. STEVAN LARS NIELSEN (NPI# 1497888606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497888606
Entity Type Individual
Full Name DR. STEVAN LARS NIELSEN
Credential PH.D.
Practice Address 1526 Wsc, Byu
Provo
UT 84602
Mailing Address 1526 Wsc
Byu
Provo
UT 84602
Practice Telephone 8014223035
Practice Fax Number 8014220175
Mailing Telephone 8014223035
Mailing Fax Number 8014220175
Enumeration Date 2007-03-14
Last Update Date 2010-12-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
115238-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 1526 WSC, BYU
City PROVO
State UT
Zip Code 84602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847161 Tara Marquez Specialist/Technologist Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 2020-06-26
1265071575 Scott Daly Hosford Psychologist 2500 Wsc, Provo, UT 84602 2020-01-03
1417591728 Christine Padilla Specialist/Technologist 331 Student Athlete Building, Provo, UT 84602 2019-10-30
1255999637 Thomas Golightly Psychologist 1500 Wsc Byu, Provo, UT 84602 2019-05-31
1881179323 David Inouye Takasaki Specialist/Technologist 331 Sab, Provo, UT 84602 2018-10-01
1568949006 Mckenna Taylor Specialist/Technologist 1120 Sfh Brigham Young University, Provo, UT 84602 2018-07-27
1821513755 Sarah Huppi Physical Medicine & Rehabilitation 1130 Sfh, Provo, UT 84602 2017-08-11
1427572627 Mackenzie Booth Physical Medicine & Rehabilitation 1120 Sfh, Brigham Young University, Provo, UT 84602 2017-07-29
1124542451 Phillip James Adrian Hartog Specialist/Technologist 1143 Smith Fieldhouse, Provo, UT 84602 2017-07-28
1114479698 Christopher Jay Hortin Specialist/Technologist 106 Sfh, Provo, UT 84602 2016-10-31
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255999637 Thomas Golightly Psychologist 1500 Wsc Byu, Provo, UT 84602 2019-05-31
1639732571 Scott A Baldwin Psychologist 1190 N 900 E Ofc 285, Provo, UT 84604-3536 2019-04-16
1295004620 Jennifer Tamar Brown Psychologist 44 W 400 N Apt 6, Provo, UT 84601-8437 2011-12-13
1497068910 Brian Hansen Psychologist 125 East 300 South Suite 207, Provo, UT 84606-5156 2010-07-26
1720296296 Sally Hess Barlow Psychologist 285 Tlrb Byu, Provo, UT 84602-8626 2007-05-18
1053408682 R. Lynn Richards Psychologist 1432 E. 850 S., Provo, UT 84606 2006-10-06
1922101849 Richard Allen Moody Psychologist 1500 Wsc, Counseling and Career Center - Byu, Provo, UT 84602-7906 2006-09-06
1386600450 Juergen Erich Korbanka Psychologist 750 North 200 West, Provo, UT 84601 2006-04-26
1992703615 Allan Roe Psychologist 1190 N 900 E, Suite 204, Provo, UT 84604-3536 2005-07-07
1467074179 Daniel Brice Kay Psychologist 3549 N University Ave Ste 200, Provo, UT 84604-4417 2020-05-15
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Competitor

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City PROVO
Zip Code 84602

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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