Doctor Name: | DR. AUSTIN M. CHILES |
NPI Number: | 1285813691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 114074-2501 |
Business Practice Address: | 447 N 300 W Ste 7 Kaysville, UT - 840374203 |
Business Phone Number: | 8017217878 |
Business Fax Number: | 8015443819 |
Mailing Address: | 447 N 300 W Ste 7, KAYSVILLE |
State: | UT |
Postal Code: | 840374203 |
Phone Number: | 8017217878 |
Fax Number: | 8015443819 |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 114074-2501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |