MR. MATT KEVIN BULLOCH (NPI# 1457526337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457526337 |
| Entity Type | Individual |
| Full Name | MR. MATT KEVIN BULLOCH |
| Credential | L.P.C. NCC |
| Practice Address |
2460 W Highway 56 #5 Cedar City UT 84720-4118 |
| Mailing Address |
1009 Ironwood Cir Cedar City UT 84721-5125 |
| Practice Telephone | 4353272137 |
| Mailing Telephone | 4353272137 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2009-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2785863-6004 | UT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2785863-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
2460 W HIGHWAY 56 #5 |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| Find all providers in zip 84720 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483609 | Wesley C Bruce | Counselor | 387 N 300 W, Cedar City, UT 84721-3547 | 2019-08-20 |
| 1134486939 | Jennifer Leigh Hinton | Counselor | 1314 Cedar Knls S, Cedar City, UT 84720-3627 | 2012-04-18 |
| 1609065044 | Darlene Horton | Counselor | 580 N Main St, Cedar City, UT 84720-2644 | 2007-10-22 |
| 1982817870 | Stephen C Barrick | Counselor | 1883 W. Royal Hunte Dr., Suite 102, Cedar City, UT 84720 | 2007-05-07 |
| 1265799746 | Jennifer Hedrick | Counselor | 351 W University Ave, Cedar City, UT 84720-2414 | 2012-04-20 |
| 1568736262 | Branon Johnson | Counselor | 54 N 200 E, Cedar City, UT 84720-2615 | 2012-02-28 |
| 1780996728 | Rick C Morris | Counselor | 121 N 1550 W, Cedar City, UT 84720-4136 | 2010-07-07 |
| 1851611206 | Joshua Van Killian | Counselor | 54 N 200 E, Cedar City, UT 84720-2615 | 2010-06-08 |
| 1639346356 | Rashell Stubbs | Counselor | 121 N 1550 W, Cedar City, UT 84720-4136 | 2008-05-12 |
| 1891986899 | Scott Cecil | Counselor | 66 W Harding Ave, Cedar City, UT 84720-2695 | 2007-08-05 |
| Find all providers in CEDAR CITY | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
Please comment or provide details below to improve the information on MR. MATT KEVIN BULLOCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.