Provider Demographics
NPI:1356650428
Name:WITHERS, MATHEW (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:
Last Name:WITHERS
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 E SNOWY EGRET AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-2912
Mailing Address - Country:US
Mailing Address - Phone:801-598-3856
Mailing Address - Fax:
Practice Address - Street 1:84 E SNOWY EGRET AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-2912
Practice Address - Country:US
Practice Address - Phone:801-901-0585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7701594-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist