Healthcare Provider Details

I. General information

NPI: 1447179452
Provider Name (Legal Business Name): MATTHEW DIANTHONY, PSY.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 E 2100 S STE 205
SALT LAKE CITY UT
84106-2579
US

IV. Provider business mailing address

1055 E 2100 S STE 205
SALT LAKE CITY UT
84106-2579
US

V. Phone/Fax

Practice location:
  • Phone: 412-626-0897
  • Fax:
Mailing address:
  • Phone: 412-626-0897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW DIANTHONY
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 412-626-0897