Pedro Leonardo Perez Aquino, LMFT | |
1141 N 1125 W, Orem, UT 84057-2882 | |
(801) 921-1766 | |
Not Available |
Full Name | Pedro Leonardo Perez Aquino |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1141 N 1125 W, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588214811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 11437478-3902 (Utah) | Primary |
Entity Name | Ascendant Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689128605 PECOS PAC ID: 1850673187 Enrollment ID: O20170123001085 |
Mailing Address | Practice Location Address |
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Pedro Leonardo Perez Aquino, LMFT 1141 N 1125 W, Orem, UT 84057-2882 Ph: () - | Pedro Leonardo Perez Aquino, LMFT 1141 N 1125 W, Orem, UT 84057-2882 Ph: (801) 921-1766 |
Skyler Anderson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 276 E 950 S, Orem, UT 84058 Phone: 801-845-4406 | |
Levi Josefsson, MT-BC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2066 W 885 S, Orem, UT 84059 Phone: 310-748-9271 | |
Mallory Meyer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1790 N State St, Orem, UT 84057 Phone: 801-224-8255 Fax: 801-224-8301 | |
Christopher Wallace, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1790 N State St, Orem, UT 84057 Phone: 801-224-8255 Fax: 801-224-8301 | |
Stephen Gordon Anderson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 N 1080 E, Orem, UT 84097 Phone: 801-368-1313 | |
Rochelle Maki, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 395 E 1600 S, Orem, UT 84058 Phone: 937-286-1500 | |
Paige Elease Gifford, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1426 E 820 N, Orem, UT 84097 Phone: 801-477-0041 |