| Brian J Taracena Psyd Pc | |
|
175 N Main St Heber City UT 84032-1606 | |
| (435) 654-4037 | |
| (435) 654-4077 |
| Full Name | Brian J Taracena Psyd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 175 N Main St, Heber City, Utah |
| Authorized Official Name and Position | Brian Jones Taracena (PSYCHOLOGIST) |
| Authorized Official Contact | 4356544037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Taracena Psyd Pc 175 N Main St Heber City UT 84032-1606 Ph: (435) 654-4037 | Brian J Taracena Psyd Pc 175 N Main St Heber City UT 84032-1606 Ph: (435) 654-4037 |
| NPI Number | 1427123082 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427123082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 49232362501 (Utah) | Primary |
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