| Mrs Amy Gezon, | |
|
4460 S Highland Dr, Salt Lake City, UT 84124-3543 | |
| (888) 949-4864 | |
| Not Available |
| Full Name | Mrs Amy Gezon |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 4460 S Highland Dr, Salt Lake City, Utah |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881983930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Karen W. Malm, Ph.d., P.c. | 4284732835 | 10 |
| Entity Name | Karen W. Malm, Ph.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871701656 PECOS PAC ID: 4284732835 Enrollment ID: O20070723000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Gezon, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 | Mrs Amy Gezon, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |