| Mr Tyler Rolland Petersen, CSW | |
|
13351 S Shaunna Lane, Herriman, UT 84096 | |
| (801) 915-6055 | |
| Not Available |
| Full Name | Mr Tyler Rolland Petersen |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 13351 S Shaunna Lane, Herriman, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770960452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5919098-3502 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyler Rolland Petersen, CSW 13351 S Shaunna Ln, Herriman, UT 84096-4706 Ph: (801) 915-6055 | Mr Tyler Rolland Petersen, CSW 13351 S Shaunna Lane, Herriman, UT 84096 Ph: (801) 915-6055 |
Ms. Lora J Watkins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14217 S Tempest Ridge Cir, Herriman, UT 84096 Phone: 152-010-6219 Fax: 844-903-2824 | |
Brittany Bitters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5629 W 13100 S, Herriman, UT 84096 Phone: 801-349-9606 Fax: 801-336-4106 | |
Nicole Nielsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5269 W Brundisi Way, Herriman, UT 84096 Phone: 801-598-3306 | |
Maddelynne Hobbs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5629 W 13100 S, Herriman, UT 84096 Phone: 801-349-9606 Fax: 801-336-4106 | |
Julie Madsen, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5627 W 13100 S Ste B, Herriman, UT 84096 Phone: 801-520-5724 | |
Tiana Mccall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15155 S Rose View Ln, Herriman, UT 84096 Phone: 435-619-9570 | |
Haley Todd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5629 W 13100 S, Herriman, UT 84096 Phone: 801-349-9606 Fax: 801-336-4106 |