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Tyler Petersen
Adult Mental Health Clinic/Center in Herriman, Utah
NPI 1871188557

Tyler Petersen is an Adult Mental Health Clinic/Center based in Herriman, UT and is specialized in Adult Mental Health. Tyler Petersen practices in Herriman, UT. The NPI Number for Tyler Petersen is 1871188557 and holds a License No. (Utah).

The current practice location address for Tyler Petersen is 13351 S Shaunna Ln, Herriman, UT and can be reached out via phone at 801-919-4657.

Location: 13351 S Shaunna Ln, Herriman, UT, 84096-4706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871188557
Provider Name
Tyler Petersen
Credential
Provider Entity Type
Organization
Address
13351 S Shaunna Ln, Herriman, UT, 84096-4706
Phone Number
801-919-4657
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13351 S Shaunna Ln
City
Herriman
State
Utah
Zip
84096-4706
Phone Number
801-919-4657
Fax Number
person
Provider Business Mailing Address Details
Address
13351 S Shaunna Ln
City
Herriman
State
Utah
Zip
84096-4706
Phone Number
801-919-4657
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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