| Tasia Roth | |
|
241 W 380 S American Fork UT 84003-0241 | |
| (435) 669-6466 | |
| Not Available |
| Full Name | Tasia Roth |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 241 W 380 S, American Fork, Utah |
| Authorized Official Name and Position | Tasia Roth (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4356696466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasia Roth 241 W 380 S American Fork UT 84003-0241 Ph: (435) 669-6466 | Tasia Roth 241 W 380 S American Fork UT 84003-0241 Ph: (435) 669-6466 |
| NPI Number | 1356034391 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356034391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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