Individual
MATTHEW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
501 S CHIPETA WAY, SLC, UT 84108-1222
(801) 583-2500
Mailing address
501 S CHIPETA WAY, SLC, UT 84108-1222
(801) 583-2500
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
295319-2504
UT
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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