Individual
DR. MATTHEW DIANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1055 E 2100 S STE 205, SALT LAKE CITY, UT 84106-2579
(412) 626-0897
Mailing address
2191 S MCCLELLAND ST APT 556, SALT LAKE CITY, UT 84106-4455
(201) 572-8610
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019006
PA
Other
Enumeration date
04/10/2014
Last updated
10/12/2024
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