Tyler Petersen

NPI #1871188557 in Herriman, Utah

Provider Information

NPI Number
1871188557
Entity Type
Organization
Organization Name
Tyler Petersen
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Mar 4, 2021
Last Updated
Mar 4, 2021

Practice Location

Address
13351 S SHAUNNA LN
State
Utah
ZIP Code
84096-4706
Phone
(801) 919-4657

Authorized Official

Name
MR. TYLER ROLLAND PETERSEN, LCSW
Title
OWNER
Phone
(801) 919-4657

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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