NPI 1518456771 · live from the CMS NPI Registry
Matthew David Anderson
Psychiatry & Neurology, Neurology in Provo, UT. National Provider Identifier 1518456771, active.
NPI record
| NPI | 1518456771 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 395 W Cougar Blvd Ste 801, Provo, UT 84604 |
| Practice phone | 801-229-1054 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | May 3, 2018 |
| Last updated | April 7, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 7035268-1204 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.