Sally Hess Barlow, PHD
Individual provider Active NPI Clinical Psychologist · Provo, UT
NPI 1720296296 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720296296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 109728-2501 (UT)
- Practice address
- 285 TLRB Byu
Provo, UT 84602-8626 - Phone
- (801) 422-7748
- Fax
- (801) 422-0163
- NPI assigned
- May 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| 109728-2501 | UT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 109728-2501 | UT | Yes |
Addresses
Primary practice location
285 TLRB Byu
Provo, UT 84602-8626
Mailing address
285 TLRB Byu
Provo, UT 84602-8626
Phone (801) 422-7748
Other providers in Provo, UT
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.