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Matthew Mayock
NPI 1790535482 · on the registry since 2024
Practice
- Address
- 762 Falls Ave
Twin Falls, ID 83301 - Phone
- (208) 258-7681
- Fax
- (208) 907-0874
- Organisation at this address
- Aspen Grove Family Therapy, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho