Individual
DR. JAMES SCOT EDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
663 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3021
(435) 734-9449
(435) 723-4851
Mailing address
663 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3021
(435) 734-9449
(435) 723-4851
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
117621-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70570
PEHP INSURANCE IDENTIFIER
UT
Enumeration date
09/24/2006
Last updated
07/08/2007
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