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NPI Code Detail

MEDICARE: JERON PARRY LMFT

MEDICARE: JERON PARRY LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist7662879-3902UT

General Provider Information

NPI Number : 1124620315
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERON PARRY LMFT
Provider Business Mailing Address
First Line : 1658 N 1125 W
Second Line :
City : LEHI
State : UT
Zip : 84043-3339
Country : US
Telephone Number : 801-427-6260
Fax Number :
Provider Business Practice Location Address
First Line : 10718 BECKSTEAD LN STE. #201
Second Line : ROOM #2
City : LEHI
State : UT
Zip : 84095-2605
Country : US
Telephone Number : 435-383-2833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2020
Last Update Date : 04/08/2024

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