Peter Bryan Conder, LCMHC | |
2265 S State St Apt 272, South Salt Lake, UT 84115-1405 | |
(435) 720-8338 | |
Not Available |
Full Name | Peter Bryan Conder |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2265 S State St Apt 272, South Salt Lake, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710367610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Assauge |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053084434 PECOS PAC ID: 5597103135 Enrollment ID: O20240402002813 |
Mailing Address | Practice Location Address |
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Peter Bryan Conder, LCMHC 2265 S State St Apt 272, South Salt Lake, UT 84115-1405 Ph: (435) 720-8338 | Peter Bryan Conder, LCMHC 2265 S State St Apt 272, South Salt Lake, UT 84115-1405 Ph: (435) 720-8338 |
Stephanie Sonntag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
Amy Miner, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 W Little River Way Unit 3, South Salt Lake, UT 84119 Phone: 801-915-2898 | |
Caprice Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
Diana Lynn Lehwalder, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-2118 | |
Tamara Middleton, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3195 S Main St Ste 180, South Salt Lake, UT 84115 Phone: 801-983-5540 Fax: 801-983-5542 | |
Natalie Dwight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 E Scott Ave, South Salt Lake, UT 84115 Phone: 208-360-9962 | |
Tyler Mcdonald, Counselor Medicare: Medicare Enrolled Practice Location: 3610 S 1000 W, South Salt Lake, UT 84119 Phone: 888-949-4864 |