| Doctor Name: | MATTHEW TAYLOR HEDELIUS |
| NPI Number: | 1053435289 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY. D. LCSW |
| License Number: | 322146-3501 |
| Business Practice Address: | 40 W Cache Valley Blvd #10a Logan, UT - 843418452 |
| Business Phone Number: | 4357872272 |
| Business Fax Number: | 4357134001 |
| Mailing Address: | 40 W Cache Valley Blvd, #10a LOGAN |
| State: | UT |
| Postal Code: | 843418452 |
| Phone Number: | 4357872272 |
| Fax Number: | 4357134001 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 322146-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |