Individual
MATTHEW KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ED.S.
Contact information
Practice address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
(801) 295-5537
Mailing address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
(801) 295-5537
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
533213
UT
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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