PHILLIP DALE RASH


Address: 1424 W 430 S, Provo, UT 84601-3986
Phone: 3852234321

PHILLIP DALE RASH (NPI# 1578113510) 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) 1578113510
Entity Type Individual
Full Name PHILLIP DALE RASH
Credential PHD
Practice Address 1424 W 430 S
Provo
UT 84601-3986
Practice Telephone 3852234321
Mailing Telephone 3852234321
Enumeration Date 2019-09-11
Last Update Date 2019-09-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
57407092501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 1424 W 430 S
City PROVO
State UT
Zip Code 84601-3986

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1326530601 Madison Paige Nelson Case Manager/Care Coordinator 750 N Freedom Blvd., Provo, UT 84601 2018-06-03
1245758861 Annette Roylance Case Manager/Care Coordinator 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 2017-09-04
1912422205 Alexandra Mcbride Specialist/Technologist 35 N 300 W #440, Provo, UT 84601 2017-08-07
1932638293 Audrey Clara Clifton Case Manager/Care Coordinator 750 North Freedom Blvd., Provo, UT 84601 2017-06-08
1528514197 Joseph Hyrum Lewis Case Manager/Care Coordinator 750 Freedom Blvd, Provo, UT 84601 2016-09-01
1629427620 Walker Clements Case Manager/Care Coordinator 750 North Freedom Blvd, Provo, UT 84601 2016-06-09
1447611595 Robert Shirley Student in an Organized Health Care Education/Training Program 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 2016-03-17
1700286283 Brelynn Downs Student in an Organized Health Care Education/Training Program 750 North Freedom Blvde, Provo, UT 84601 2014-09-03
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437796836 Michael Ray Williams Psychologist 3319 N University Ave Ste 100, Provo, UT 84604-4447 2019-12-04
1760929707 Melissa Kay Jones Psychologist 4132 Timpview Dr, Provo, UT 84604-5128 2017-01-29
1730430257 Jessica Flynn Psychologist 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 2012-09-24
1144594003 I Promise Foundation Psychologist 3521 N University Ave, Suite 225, Provo, UT 84604-4418 2012-02-23
1881730604 Jennifer Anne Morrill Psychologist 3549 N University Ave Ste 200, Provo, UT 84604 2007-01-29
1457444077 Royace Ann Shively Psychologist 1571 Wsc, Brigham Young University, Provo, UT 84602 2006-10-02
1194294090 Laura H Dixon Psychologist 1190 North 900 East, Provo, UT 84604 2018-11-20
1508019522 Benjamin Connell Salazar Psychologist 1500 Wsc, Brigham Young University, Provo, UT 84602-7924 2008-11-04
1528215274 Kenneth C. Tuttle Psychologist 1034 N 500 W, Provo, UT 84604-3380 2008-08-25
1861611865 Scott Edward Mccauley Psychologist 1190 N 900 E, Provo, UT 84604-3536 2007-04-25
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Competitor

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City PROVO
Zip Code 84601

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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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