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NPI Code Detail

MEDICARE: MATTHEW REISER PH.D.

MEDICARE: MATTHEW REISER PH.D.
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
1103TC1900XCounseling Psychologist5184406-2501UT

General Provider Information

NPI Number : 1750710455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW REISER PH.D.
Provider Business Mailing Address
First Line : 4028 W 150 S
Second Line :
City : CEDAR CITY
State : UT
Zip : 84720-5503
Country : US
Telephone Number : 801-870-9052
Fax Number : 435-865-8078
Provider Business Practice Location Address
First Line : 351 W UNIVERSITY BLVD
Second Line :
City : CEDAR CITY
State : UT
Zip : 84720-2415
Country : US
Telephone Number : 801-870-9052
Fax Number : 435-865-8078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 09/26/2025

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