| Matthew Remick Psychology, Llc | |
|
15 Office Park Cir Ste 140 Mountain Brk AL 35223-2562 | |
| (205) 438-7711 | |
| (205) 438-7711 |
| Full Name | Matthew Remick Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 15 Office Park Cir Ste 140, Mountain Brk, Alabama |
| Authorized Official Name and Position | Matthew Lee Remick (OWNER) |
| Authorized Official Contact | 2052234353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Remick Psychology, Llc 15 Office Park Cir Ste 140 Mountain Brk AL 35223-2562 Ph: (205) 438-7711 | Matthew Remick Psychology, Llc 15 Office Park Cir Ste 140 Mountain Brk AL 35223-2562 Ph: (205) 438-7711 |
| NPI Number | 1679931398 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Medicare PECOS PAC ID | 8820378417 |
|---|---|
| Medicare Enrollment ID | O20161219001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679931398 | NPI | - | NPPES |
| 111524 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1078 (Alabama) | Primary |
| Provider Name | Matthew L Remick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841393071 PECOS PAC ID: 0143378752 Enrollment ID: I20090507000524 |
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