Gentry, Maya Elena
Gentry, Maya Elena is an sole proprietor health care provider with primary practice located at 12771 Timber Run Dr , Riverton UT 84096-7430. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gentry, Maya Elena can be contacted via phone (801) 842-8915.Contact Information
Primary practice address
12771 Timber Run Dr
Riverton UT 84096-7430
Phone: (801) 842-8915
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 259706-3501 | Utah |
Profile Details
| NPI number | 1609009216 |
|---|---|
| LBN Legal business name | Gentry, Maya Elena |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2009 |
| Last updated | Aug 30th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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