Doctor Name: | ANA MARIA PEREZ |
NPI Number: | 1043571441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1760 W 4805 S Taylorsville, UT - 841291177 |
Business Phone Number: | 8019559110 |
Business Fax Number: | |
Mailing Address: | 671 Emery St, SALT LAKE CITY |
State: | UT |
Postal Code: | 841042431 |
Phone Number: | 8018563116 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2012 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |