Bradley Dwayne Crockett, in Provo, UT - Psychologist

Bradley Dwayne Crockett, is a Psychologist - School based in Provo, Utah. Bradley Dwayne Crockett is licensed to practice in * (Not Available) (license number ) and his current practice location is 240 West 940 North, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 374-4800.

NPI number for Bradley Dwayne Crockett is 1134867310 and his current mailing address is 1753 Red Barn Rd, Springville, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134867310.

Contact Information

	Bradley Dwayne Crockett,
	240 West 940 North, Provo, UT 84604
	(801) 374-4800
	Not Available

Healthcare Provider's Profile

Full Name	Bradley Dwayne Crockett
Gender	Male
Speciality	Psychologist - School
Location	240 West 940 North, Provo, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1134867310
Provider Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022

Medical Identifiers

Medical identifiers for Bradley Dwayne Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134867310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	(* (Not Available))	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. Bradley Dwayne Crockett 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
Bradley Dwayne Crockett, 1753 Red Barn Rd, Springville, UT 84663-3231 Ph: (801) 473-9635	Bradley Dwayne Crockett, 240 West 940 North, Provo, UT 84604 Ph: (801) 374-4800

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Psychologist in Provo, UT

Eliza Rachelle Gedge, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-0639 Fax: 801-373-0639
Vaughn E Worthen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1545 Wsc, Provo, UT 84602 Phone: 801-471-6266
Prof. Benjamin Mckay Ogles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-8193
Dr. Kari A O'grady, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 Springdell Cir, Provo, UT 84604 Phone: 410-952-2207
Michaela Shields, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215
Dr. R. Lynn Richards, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1432 E. 850 S., Provo, UT 84606 Phone: 801-371-8787 Fax: 801-371-8784
Dr. Max Ford Mcbride, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 414, Provo, UT 84604 Phone: 801-357-7757 Fax: 801-357-8100

Bradley Dwayne Crockett, - Psychologist in Provo, UT