MEDICARE: ALLISON RENCHER M.S., 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
1	106H00000X	Marriage & Family Therapist	6912742-3902	UT

General Provider Information

NPI Number	:	1720276785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON RENCHER M.S., LMFT

Provider Business Mailing Address
First Line	:	9035 S 1300 E
Second Line	:	SUITE B120
City	:	SANDY
State	:	UT
Zip	:	84094-3132
Country	:	US
Telephone Number	:	801-341-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	9035 S 1300 E
Second Line	:	SUITE B120
City	:	SANDY
State	:	UT
Zip	:	84094-3132
Country	:	US
Telephone Number	:	801-341-2001
Fax Number	:

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	01/29/2013

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