| Matthew Mcdavid Lcsw Pllc | |
|
53 Hill St Ste 51 Southampton NY 11968-5316 | |
| (631) 904-0844 | |
| Not Available |
| Full Name | Matthew Mcdavid Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 53 Hill St Ste 51, Southampton, New York |
| Authorized Official Name and Position | Yolanda Vazquez (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8575593435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Mcdavid Lcsw Pllc 53 Hill St Ste 51 Southampton NY 11968-5316 Ph: (631) 904-0844 | Matthew Mcdavid Lcsw Pllc 53 Hill St Ste 51 Southampton NY 11968-5316 Ph: (631) 904-0844 |
| NPI Number | 1659124048 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659124048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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