SANDRA PETERSEN (NPI# 1568916260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568916260 |
| Entity Type | Individual |
| Full Name | SANDRA PETERSEN |
| Other Name | SANDRA CECILIA PERAZA -DOMINGUEZ |
| Practice Address |
25 N 100 E Ste 102 St George UT 84770-7369 |
| Practice Telephone | 4359862565 |
| Mailing Telephone | 8012144434 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5698 W Glen Eagle Dr, West Valley City, UT 841284013 | 8019694181 | 8019691291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215162995 | Sandra Lee Petersen | Speech-Language Pathologist | 805 W Stonemill Ave, Addison, IL 60101-2210 | 2009-05-24 |
| 1821070368 | Sandra E Petersen | Marriage & Family Therapist | 43613 Florida Ave, Suite K, Hemet, CA 92544-7202 | 2005-11-18 |
| 1285171801 | Sandra Mary Bednarz Petersen | Counselor | 1900 Ogden Ave, Aurora, IL 60504-4273 | 2017-01-20 |
| 1407074024 | Sandra M. Petersen | Pharmacist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2007-04-20 |
| 1548396849 | Sandra Petersen | Nurse Practitioner | 6800 West Loop S, Suite 180, Bellaire, TX 77401-4528 | 2007-02-23 |
| 1295795672 | Sandra Rose Petersen | Obstetrics & Gynecology | 4060 4th Ave, Suite 610, San Diego, CA 92103-2116 | 2006-03-28 |
| Street Address |
25 N 100 E STE 102 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-7369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043450760 | William Bentley Christensen | Nurse Practitioner | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2009-02-21 |
| 1730746231 | Ryan Richard Howard | Dentist | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2019-05-21 |
| 1578058475 | Allison Chay Stewart | Physician Assistant | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2018-06-25 |
| 1780114934 | Samuel Christensen | Family Medicine | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2017-06-19 |
| 1548618788 | Selene Castaneda Flores | Dental Hygienist | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2016-05-27 |
| 1306293329 | Seth Hurd | Nurse Practitioner | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2016-05-19 |
| 1255788303 | Elijah Adam Fielding | Physician Assistant | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2016-05-18 |
| 1548522089 | Jennifer S Pearson | Counselor | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2012-06-11 |
| 1235405259 | Talaisha Bracken | Social Worker | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291854 | Anne Schwab | Marriage & Family Therapist | 166 N 300 W Ste 3, St George, UT 84770-2770 | 2019-08-20 |
| 1912491671 | Melyssa Myers | Marriage & Family Therapist | 321 N Mall Dr Ste M202, St George, UT 84790-7316 | 2018-06-17 |
| 1891107736 | Thane Palmer | Marriage & Family Therapist | 1310 Casper Cir, St George, UT 84790-7708 | 2014-05-27 |
| 1952739401 | Alpine Consulting Group, Inc | Marriage & Family Therapist | 321 N Mall Dr Ste O101, St George, UT 84790-7313 | 2013-10-19 |
| 1255682241 | Jill Call | Marriage & Family Therapist | 393 E. Riverside Drive Suite 3a, St George, UT 84790 | 2012-10-01 |
| 1063727311 | Matthew Melvin Eschler | Marriage & Family Therapist | 1240 E 100 S # 23-201, St George, UT 84790-3001 | 2010-08-11 |
| 1225260979 | Jonette Reber | Marriage & Family Therapist | 2337 Stone Cliff Rd, St George, UT 84790-6120 | 2009-08-13 |
| 1467663302 | Todd Davis Graves | Marriage & Family Therapist | 393 E Riverside Dr Ste 3a, St George, UT 84790-7127 | 2007-05-24 |
| 1225240336 | Lynne Clark-brunson | Marriage & Family Therapist | 750 Ridgeview Dr, Ste 103, St George, UT 84770-2665 | 2007-05-03 |
| 1518592401 | Brittani Furnival | Marriage & Family Therapist | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2020-03-11 |
| Find all providers in ST GEORGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.