Dr. Bryan B Bushman, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1831346170

Dr. Bryan B Bushman, PHD is a Clinical Psychologist in Ogden, Utah. Qualified in 2007, 19 years ago. Practices with South Davis Psychological Services, a 17-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying: 19
Licensed in: UT
In the registry since: 2008
Specialties on file: 2

What do these letters mean?

PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5030 Harrison Blvd
Ogden, UT 84403-4311
Phone: (801) 387-5600

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary)	Taxonomy 103TC2200X · Licence 5842642-2501 (UT)
Clinical Child & Adolescent Psychologist	Taxonomy 103TC2200X

Record details

NPI number	1831346170
Entity type	Individual (Type 1)
Gender	Male
Credentials	PHD
Sole proprietor	No
NPI enumerated	August 19, 2008
Last updated in NPPES	December 5, 2012
Mailing address	Po Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL PSYCHOLOGIST
Medical school	OTHER
Graduated	2007 (19 years in practice)
Group practice	South Davis Psychological Services — 17 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount