| Md Matt Llc | |
|
6401 New Hampshire Ave Hyattsville MD 20783-3201 | |
| (410) 364-8194 | |
| (410) 364-8194 |
| Full Name | Md Matt Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6401 New Hampshire Ave, Hyattsville, Maryland |
| Authorized Official Name and Position | William Shaffer (DIRECTOR) |
| Authorized Official Contact | 4432206122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Matt Llc 10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 Ph: (443) 559-4137 | Md Matt Llc 6401 New Hampshire Ave Hyattsville MD 20783-3201 Ph: (410) 364-8194 |
| NPI Number | 1609547009 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609547009 | NPI | - | NPPES |
| 181014604 | Medicaid | MD | |
| 062712289 | Medicaid | DC |
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