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Provider Information for 1760692842

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MR. JASON SCOTT CALDER LMFT

Gender: MALE

Individual NPI: 1760692842

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1760692842
Enumeration Date 2007-05-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 754 DURHAM DR
NORTH SALT LAKE, UT 84054-6000
United States

Phone: 801-390-3191 | Fax:
View Map External Link
Primary Practice Address 1135 VINE ST
MURRAY, UT 84121-1735
United States

Phone: 801-390-3191 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 106H00000X - Marriage & Family Therapist UT 5344112-3904