Bethany Sue Ortiz, EDS, NCSP in South Salt Lake, UT - Psychologist

Bethany Sue Ortiz, EDS, NCSP is a Psychologist - School based in South Salt Lake, Utah. Bethany Sue Ortiz is licensed to practice in Utah (license number 745329) and her current practice location is 2500 S State St, South Salt Lake, Utah. She can be reached at her office (for appointments etc.) via phone at (385) 646-1641.

NPI number for Bethany Sue Ortiz is 1205573854 and her current mailing address is 213 W Civic Center Dr Apt 239, Sandy, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205573854.

Contact Information

	Bethany Sue Ortiz, EDS, NCSP
	2500 S State St, South Salt Lake, UT 84115-3164
	(385) 646-1641
	Not Available

Healthcare Provider's Profile

Full Name	Bethany Sue Ortiz
Gender	Female
Speciality	Psychologist - School
Location	2500 S State St, South Salt Lake, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1205573854
Provider Enumeration Date: 05/16/2022
Last Update Date: 05/18/2022

Medical Identifiers

Medical identifiers for Bethany Sue Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205573854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	745329 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Sue Ortiz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bethany Sue Ortiz, EDS, NCSP 213 W Civic Center Dr Apt 239, Sandy, UT 84070-1230 Ph: (815) 530-9348	Bethany Sue Ortiz, EDS, NCSP 2500 S State St, South Salt Lake, UT 84115-3164 Ph: (385) 646-1641

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Psychologist in South Salt Lake, UT

Dr. Victoria Rose Hatton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000
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Heather Elise Creel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000
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Bethany Sue Ortiz, EDS, NCSP - Psychologist in South Salt Lake, UT