Organization
THERAPY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW V BULKLEY LCSW (EXECUTIVE DIRECTOR)
(435) 862-8273
Entity
Organization
Contact information
Practice address
377 E RIVERSIDE DR STE B, ST GEORGE, UT 84790-4749
(435) 862-8273
(435) 275-4256
Mailing address
377 E RIVERSIDE DR STE B, ST GEORGE, UT 84790-4749
(435) 862-8273
(435) 275-4256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
08/28/2020
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