| Tara Moffat Pennington, | |
|
5250 S Commerce Dr, #250, Murray, UT 84107-7926 | |
| (801) 261-3500 | |
| Not Available |
| Full Name | Tara Moffat Pennington |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 5250 S Commerce Dr, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184080244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Project Connection Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104392802 PECOS PAC ID: 1052851847 Enrollment ID: O20240906003996 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Moffat Pennington, 5250 S Commerce Dr, #250, Murray, UT 84107-7926 Ph: () - | Tara Moffat Pennington, 5250 S Commerce Dr, #250, Murray, UT 84107-7926 Ph: (801) 261-3500 |
Pawel Okula, MFTGS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5250 S Commerce Dr Ste 250, Murray, UT 84107 Phone: 801-261-3500 | |
Ruth Zollinger, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 672 E Vine St Ste 1, Murray, UT 84107 Phone: 385-715-0233 | |
Alexis Richards, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5411 S Vine St, Murray, UT 84107 Phone: 801-651-4986 | |
Mrs. Ana Lia Borges De Martinez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5814 S 900 E, Murray, UT 84121 Phone: 385-800-3272 Fax: 385-800-3260 | |
Josie Elanor Rogers, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 672 E Vine St, Murray, UT 84107 Phone: 435-731-9670 | |
Shaon Primus, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-232-7138 |