Martin Harston Matheson in Provo - Clinical

Martin Harston Matheson - NPI 1952418865

Martin Harston Matheson is a Clinical in Provo, Utah. Martin Harston Matheson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martin Harston Matheson is 1952418865. The last update date is 2009-11-19.

Martin Harston Matheson's current location address is 5455 River Run Dr, Provo, Utah. You can contact this provider via phone number 8012262550 and fax number 8012268298. The mailing address for Martin Harston Matheson is 5455 River Run Dr, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin Harston Matheson
Address 5455 River Run Dr, Provo, Utah
Phone Number 8012262550
Fax Number 8012268298
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1952418865
Provider Enumeration Date 2006-08-24
Last Updated Date 2009-11-19

Provider Mailing Address Detail

Address 5455 River Run Dr
City Provo
State Utah (UT)
Post Code 846047726
Phone Number 8012262550
Fax Number 8012268298

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2930773501
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5742626 UT --

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FAQs about Martin Harston Matheson

What is the unique 10-digit identification code issued to Martin Harston Matheson by the Centers for Medicare & Medicaid Services?

The Martin Harston Matheson has been assigned the NPI (National Provider Identifier) 1952418865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Martin Harston Matheson is physically located?

The Martin Harston Matheson is situated at the following address: 5455 River Run Dr, Provo, UT 846047726.

What is Martin Harston Matheson's area of expertise and its corresponding taxonomy classification?

The Martin Harston Matheson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952418865 to Martin Harston Matheson?

The Centers for Medicare & Medicaid Services originally issued the 1952418865 to Martin Harston Matheson on 2006-08-24.

As of what date was the information regarding Martin Harston Matheson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Martin Harston Matheson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-19.

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