Marcel C Chappuis, PH.D.
Individual provider Active NPI Clinical Psychologist · Taylorsville, UT
NPI 1164540472 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164540472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 111619-2501 (UT)
- Practice address
- 6129 Elsie CT
Taylorsville, UT 84123-5369 - Phone
- (801) 261-4771
- Fax
- (801) 261-4778
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111619-2501 | UT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 111619-2501 | UT | Yes |
Addresses
Primary practice location
6129 Elsie CT
Taylorsville, UT 84123-5369
Mailing address
850 Donner Way Apt 504
Salt Lake City, UT 84108-2133
Phone (801) 560-5863
Other providers in Taylorsville, UT
- Carson Chandler
- Mikala Chandler
- Dayoung Chang
- Gillian Chapman
- Michael Chapman
- Jasmin Elizabeth Charles
- Sandra Charles
- Beth Chase
- Kyleigh Chatterton
- Jenalee Shawna Chatwin
All providers in Taylorsville, UT · Clinical Psychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.