Organization
ARIEL GONZALES PSYCHIATRIC NP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL GONZALES APRN (OWNER)
(801) 746-7190
Entity
Organization
Contact information
Practice address
5691 S REDWOOD RD, BLDG 16, STE 1B, TAYLORSVILLE, UT 84123-5420
(801) 746-7190
(866) 284-3243
Mailing address
5691 S REDWOOD RD, BLDG 16, STE 1B, TAYLORSVILLE, UT 84123-5420
(801) 746-7190
(866) 284-3243
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8566732-0162
UT
Other
Enumeration date
04/02/2014
Last updated
07/02/2014
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