Gillan Maclean Smith, PH.D.
Individual provider Active NPI Psychologist · Mapleton, UT
NPI 1356994693 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1356994693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 293981-2501 (UT)
- Practice address
- 774 S 1600 W
Mapleton, UT 84664-4345 - Phone
- (434) 470-1020
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 293981-2501 | UT | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 293981-2501 | UT | Yes |
Addresses
Primary practice location
774 S 1600 W
Mapleton, UT 84664-4345
Mailing address
774 S 1600 W
Mapleton, UT 84664-4345
Phone (434) 470-1020
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gillan.smith@maplespringscounseling.com | Direct |
Other providers in Mapleton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. 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.