| Tracey Dwyer Marriage And Family Therapist Inc. | |
|
3022 Lower Saddleback Rd Park City UT 84098-4850 | |
| (800) 435-9192 | |
| Not Available |
| Full Name | Tracey Dwyer Marriage And Family Therapist Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3022 Lower Saddleback Rd, Park City, Utah |
| Authorized Official Name and Position | Tracey Anne Dwyer (OWNER) |
| Authorized Official Contact | 3548009192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Dwyer Marriage And Family Therapist Inc. Po Box 980301 Park City UT 84098-0301 Ph: (435) 800-9192 | Tracey Dwyer Marriage And Family Therapist Inc. 3022 Lower Saddleback Rd Park City UT 84098-4850 Ph: (800) 435-9192 |
| NPI Number | 1457935348 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457935348 | NPI | - | NPPES |
| 12229368-0142 | Other | UT | CORPORATE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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