| Therapy On The Fly Pllc | |
|
298 24th St Suite 420 Ogden UT 84401-1431 | |
| (801) 458-1516 | |
| (435) 836-2427 |
| Full Name | Therapy On The Fly Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 298 24th St, Ogden, Utah |
| Authorized Official Name and Position | Scott A Peterson (OWNER) |
| Authorized Official Contact | 8014581516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy On The Fly Pllc 298 24th St Suite 420 Ogden UT 84401-1431 Ph: (801) 458-1516 | Therapy On The Fly Pllc 298 24th St Suite 420 Ogden UT 84401-1431 Ph: (801) 458-1516 |
| NPI Number | 1740502970 |
|---|---|
| Provider Enumeration Date | 02/15/2010 |
| Last Update Date | 02/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740502970 | NPI | - | NPPES |
| 1427202266 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6068455-3501 (* (Not Available)) | Primary |
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