Individual
MR. MATTHEW RYAN MERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
49 E 200 S, CLEARFIELD, UT 84015-1047
(801) 706-3034
Mailing address
49 E 200 S, CLEARFIELD, UT 84015-1047
(801) 706-3034
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
292638-6004
UT
Other
Enumeration date
04/19/2010
Last updated
03/19/2015
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