Individual
DR. MATTHEW BRENT CHECKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.C.S.W.
Contact information
Practice address
240 MORRIS AVE, SOUTH SALT LAKE, UT 84115-3277
(801) 874-4899
Mailing address
240 MORRIS AVE, SOUTH SALT LAKE, UT 84115-3277
(801) 874-4899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4873893-3501
UT
Other
Enumeration date
07/12/2012
Last updated
09/01/2022
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