Tyson Brett Brewer, CPSS
Individual provider Active NPI Peer Specialist · Cedar Hills, UT
NPI 1992551816 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1992551816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 2071 (UT)
- Practice address
- 3784 W Valley View Dr
Cedar Hills, UT 84062-8085 - Phone
- (801) 407-9994
- NPI assigned
- Apr 30, 2024
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2071 | UT | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 2071 | UT | Yes |
Addresses
Primary practice location
3784 W Valley View Dr
Cedar Hills, UT 84062-8085
Mailing address
1515 W 110 N
Pleasant Grove, UT 84062-3555
Phone (801) 404-7145
Other providers in Cedar Hills, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.