MEDICARE: MARIA ELENA SANDOVAL

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
1	101YM0800X	Mental Health Counselor	364465-3501	UT

General Provider Information

NPI Number	:	1659012128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ELENA SANDOVAL

Provider Business Mailing Address
First Line	:	477 N JEFFERSON AVE
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-3739
Country	:	US
Telephone Number	:	801-644-1646
Fax Number	:

Provider Business Practice Location Address
First Line	:	477 N JEFFERSON AVE
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-3739
Country	:	US
Telephone Number	:	801-644-1646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	04/06/2022

Similar Medicare Providers

1376162735 — HOPKINTON DIALYSIS LLC
Practice Location Address:

6001 W OGDEN AVE
CICERO, IL
60804-3739

Practice Phone: 615-238-3136
Practice Fax:

1609596014 — HEATHER FULLER
Practice Location Address:

670 12TH ST
OGDEN, UT
84404-5877

Practice Phone: 801-781-5733
Practice Fax:

1831987262 — TREVOR RIGBY
Practice Location Address:

1055 N WASHINGTON BLVD
OGDEN, UT
84404-3605

Practice Phone: 570-980-1394
Practice Fax:

1912869520 — RACQUEL UDY
Practice Location Address:

1920 W 250 N STE 24
OGDEN, UT
84404-4774

Practice Phone: 801-317-4757
Practice Fax:

1790782357 — INFINIA AT OGDEN
Practice Location Address:

524 E 800 N
OGDEN, UT
84404-3600

Practice Phone: 801-782-3740
Practice Fax: 801-782-3594

1710974381 — MINDY M BOEHM MD
Practice Location Address:

1159 E 12TH ST
OGDEN, UT
84404-5144

Practice Phone: 801-475-3700
Practice Fax: 801-475-3701

Directions to “ MARIA ELENA SANDOVAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.