Organization
CHILES PSYCHOLOGICAL SERVICES INC
Active
Other names
Chiles Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY AUSTIN CHILES PHD (OWNER)
(801) 774-8888
Entity
Organization
Contact information
Practice address
1477 N 2000 W, SUITE C, CLINTON, UT 84015-8638
(801) 774-8888
(801) 825-8519
Mailing address
1477 N 2000 W, SUITE C, CLINTON, UT 84015-8638
(801) 774-8888
(801) 825-8519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
376639-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538486097
—
UT
Enumeration date
03/01/2012
Last updated
01/21/2013
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