Catherine Aviles

Individual provider Active NPI Peer Specialist · South Salt Lake, UT

NPI 1285322503 · NPPES record last updated Apr 25, 2023

Key facts

NPI
1285322503
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
01871 (UT)
Practice address
3269 S Main St Ste 230
South Salt Lake, UT 84115-3769
Phone
(801) 935-4447
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01871UTMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 01871 UT Yes

Addresses

Primary practice location

3269 S Main St Ste 230
South Salt Lake, UT 84115-3769

Mailing address

3269 S Main St Ste 230
South Salt Lake, UT 84115-3769
Phone (801) 935-4447

Other providers in South Salt Lake, UT

All providers in South Salt Lake, UT · Peer Specialist in Utah

Sources for this page

Verify at the official NPI Registry.