| Macmathan Lc | |
|
12067 S Draper Crest Ln Unit 11 Draper UT 84020-5218 | |
| (801) 707-9265 | |
| Not Available |
| Full Name | Macmathan Lc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12067 S Draper Crest Ln Unit 11, Draper, Utah |
| Authorized Official Name and Position | David Alexander Matheson (OWNER) |
| Authorized Official Contact | 8017079265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macmathan Lc 12067 S Draper Crest Ln Unit 11 Draper UT 84020-5218 Ph: (801) 707-9265 | Macmathan Lc 12067 S Draper Crest Ln Unit 11 Draper UT 84020-5218 Ph: (801) 707-9265 |
| NPI Number | 1659138261 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659138261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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