Individual
MR. CLINTON E. FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 752-0422
(435) 792-1615
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
58050222501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58050222501
BCBS
UT
05
—
876000528059
—
UT
Enumeration date
06/11/2007
Last updated
05/14/2024
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