Individual
PETER ROCKFORD MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
12523 S PASTURE RD STE 250, RIVERTON, UT 84096-4842
(801) 796-2039
Mailing address
12523 S PASTURE RD STE 250, RIVERTON, UT 84096-4842
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
14119595-3904
UT
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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