Petersen, Tara

Petersen, Tara is an individual health care provider with primary practice located at 5667 S Redwood Rd Unit 6B , Taylorsville UT 84123-5495. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Petersen, Tara can be contacted via phone (801) 712-2666.

Contact Information

Primary practice address
5667 S Redwood Rd Unit 6B Taylorsville UT 84123-5495
Phone: (801) 712-2666
Fax: (801) 905-1161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Utah

Profile Details

NPI number 1467876631
LBN Legal business name Petersen, Tara
Credentials SSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2014
Last updated Feb 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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