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JOHN D. PEROVICH PSYD PLLC NPI 1265846976


NPI Information

NPI: 1265846976
Provider Name: JOHN D. PEROVICH, PSYD PLLC

Doing Business As: CENTER FOR GROWTH & POTENTIAL

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1148 W LEGACY CROSSING BLVD STE 130
CENTERVILLE, UT
ZIP 84014
Phone: (801) 773-0535
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JOHN D. PEROVICH, PSYD PLLC is a mental health counselor in Centerville, UT. JOHN D. PEROVICH, PSYD PLLC NPI is 1265846976. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Center For Growth & Potential.

The provider's business location address is:

1148 W LEGACY CROSSING BLVD STE 130
CENTERVILLE, UT
ZIP 84014-537
Phone: (801) 773-0535
Fax: (801) 773-0536

The provider's authorized official is Mandi Mccoy .
The authorized official title is Office Manager and has the following contact phone number (801) 773-0535.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 3/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health3454712501UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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