MATTHEW DONALD ROUGHAN

PROVO, UT
NPI1578276036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: UT  12941291-3904)
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
MR. MATTHEW DONALD ROUGHAN MS MFT
5314 RIVER RUN DR STE 350
PROVO, UT 84604-7708
Phone number: 817-787-9855
Mailing Address
MR. MATTHEW DONALD ROUGHAN MS MFT
1368 E 440 N
PROVO, UT 84606-5127
Phone number: 509-989-7869
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