Timothy Ponce, M.F.T

NPI 1407127574 · on the registry since 2012 · sole proprietor

Practice

Address: 750 N 200 W
Suite 300
Provo, UT 84601
Phone: (801) 373-4760
Organisation at this address: Mountainlands Family Pharmacy - Wasatch
Mountainlands Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 275

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah