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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 106H00000X - Marriage & Family Therapist UT 5344112-3904
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location