Provider Demographics
NPI:1619207669
Name:EICHER, PENELOPE (LMFT)
Entity Type:Individual
Prefix:
First Name:PENELOPE
Middle Name:
Last Name:EICHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S BLUFF ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3592
Mailing Address - Country:US
Mailing Address - Phone:435-673-1483
Mailing Address - Fax:435-674-9380
Practice Address - Street 1:437 S BLUFF ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3592
Practice Address - Country:US
Practice Address - Phone:435-673-1483
Practice Address - Fax:435-674-9380
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116677-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist