Individual
DANIEL RICHARD MIGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.M.F.T.
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Mailing address
213 W 300 N, HYDE PARK, UT 84318-4020
(435) 563-6946
(435) 752-7433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5013096-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107021829101
IHC
UT
01
—
11605584
AETNA
UT
01
—
70587
PEHP
UT
Enumeration date
09/22/2006
Last updated
07/08/2007
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