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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TYLER ROLLAND PETERSEN, CSW

Active Sole Proprietor

MR. TYLER ROLLAND PETERSEN, CSW is a Clinical Social Worker healthcare provider located in HERRIMAN, Utah. NPI 1770960452 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · HERRIMAN, UT

Registration Details

NPI Number
1770960452
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2015 (11.272819392198 yrs)
Last Updated
May 1, 2015
License
5919098-3502 (UT)
Sole Proprietor
Yes

Practice Information

Address
13351 S SHAUNNA LANE
HERRIMAN, UT, 84096
Browse UT providers · Browse ZIP 84096
Phone
8019156055
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in HERRIMAN, UT

Name Credential NPI
MR. MICHAEL JOEL HOGLUND LCSW 1962696930
MS. LORA J WATKINS LCSW 1043485857
CASSANDRA MICHELLE HOWELL LCSW 1154629962
MRS. AGUEDA HUBBARD LCSW 1750673091
MR. DARIN TERRY HANSEN LCSW 1730420696
JULIE MADSEN LCSW 1255881215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.