DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARTIN HARSTON MATHESON LCSW

MEDICARE: MARTIN HARSTON MATHESON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2930773501UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952418865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN HARSTON MATHESON LCSW
Provider Business Mailing Address
First Line : 5455 RIVER RUN DR
Second Line :
City : PROVO
State : UT
Zip : 84604-7726
Country : US
Telephone Number : 801-226-2550
Fax Number : 801-226-8298
Provider Business Practice Location Address
First Line : 5455 RIVER RUN DR
Second Line :
City : PROVO
State : UT
Zip : 84604-7726
Country : US
Telephone Number : 801-226-2550
Fax Number : 801-226-8298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 11/19/2009

Similar Medicare Providers

1265382766 — SERAH CAKIR
Practice Location Address:
5455 N RIVER RUN DR
PROVO, UT
84604-7726
Practice Phone: 801-226-2550
Practice Fax:
1689178071 — MRS. MARIE DIAN FOSTER M.ED. SPS
Practice Location Address:
5455 RIVER RUN DR
PROVO, UT
84604-7726
Practice Phone: 801-404-0011
Practice Fax:
1750847000 — SCENIC VIEW ACADEMY, INC.
Practice Location Address:
5455 RIVER RUN DR
PROVO, UT
84604-7726
Practice Phone: 801-226-2550
Practice Fax:
1164089074 — RYAN MILLER LCSW
Practice Location Address:
5455 RIVER RUN DR
PROVO, UT
84604-7726
Practice Phone: 801-234-0653
Practice Fax:
1336799923 — JESSICA MARIE SERDAR LCSW
Practice Location Address:
5455 RIVER RUN DR
PROVO, UT
84604-7726
Practice Phone: 801-226-2550
Practice Fax: 801-226-8298
1396352571 — SCOTT WOOD CMHC
Practice Location Address:
5455 RIVER RUN DR
PROVO, UT
84604-7726
Practice Phone: 801-342-3473
Practice Fax: 801-226-8298

Directions to “ MARTIN HARSTON MATHESON LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.