Provider Demographics
NPI:1912179557
Name:BARLEY, DEAN E (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:E
Last Name:BARLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N 1000 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-5002
Mailing Address - Country:US
Mailing Address - Phone:801-422-7818
Mailing Address - Fax:801-422-0163
Practice Address - Street 1:1190 N 900 E
Practice Address - Street 2:237 TLRB
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3536
Practice Address - Country:US
Practice Address - Phone:801-422-7818
Practice Address - Fax:801-422-0163
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT133172-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTS05513Medicare UPIN