Individual
MATTHEW WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
650 KOMAS DR, #208, SALT LAKE CITY, UT 84108-1215
(801) 585-1212
(801) 585-9096
Mailing address
420 CHELSEA DR, BOUNTIFUL, UT 84010-4404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3458522501
UT
Other
Enumeration date
09/20/2006
Last updated
12/20/2021
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