Mr Matthew Troy Bovenkerk, MS, LMFT | |
1904 Richland Ave, Ceres, CA 95307-4562 | |
(209) 525-5079 | |
Not Available |
Full Name | Mr Matthew Troy Bovenkerk |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1904 Richland Ave, Ceres, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144354309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MFC41226 (California) | Secondary |
106H00000X | Marriage & Family Therapist | MFC41226 (California) | Primary |
Entity Name | County Of Stanislaus |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154524445 PECOS PAC ID: 0648183996 Enrollment ID: O20031111000935 |
Entity Name | County Of Stanislaus |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831394998 PECOS PAC ID: 0648183996 Enrollment ID: O20031111000939 |
Entity Name | County Of Stanislaus |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023681301 PECOS PAC ID: 0648183996 Enrollment ID: O20041108000570 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Troy Bovenkerk, MS, LMFT Po Box 4811, Modesto, CA 95352-4811 Ph: (209) 602-1144 | Mr Matthew Troy Bovenkerk, MS, LMFT 1904 Richland Ave, Ceres, CA 95307-4562 Ph: (209) 525-5079 |
David E Abeyta, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave Bldg A, Ceres, CA 95307 Phone: 209-300-8800 | |
Vasiliki Aja, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-541-2914 Fax: 209-541-2071 | |
Benjamin Richardson Hopp, ASSOCIATE MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2935 4th St, Ceres, CA 95307 Phone: 209-531-2088 | |
Ms. Robin Carol Johnson, MFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Tx 1, Ceres, CA 95307 Phone: 209-541-2914 Fax: 209-541-2499 | |
Miss Summer Hillas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-558-4600 | |
Samantha Jo Russell, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave Bldg A, Ceres, CA 95307 Phone: 209-543-0440 | |
Deborah Whitten, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-525-7411 Fax: 209-541-2083 |