| Md Matt | |
|
10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 | |
| (443) 559-4137 | |
| Not Available |
| Full Name | Md Matt |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10220 S Dolfield Rd Ste 106, Owings Mills, Maryland |
| Authorized Official Name and Position | Md Matt (OWNER AND BUSINESS MANAGER) |
| Authorized Official Contact | 4435594137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Matt 10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 Ph: (443) 559-4137 | Md Matt 10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 Ph: (443) 559-4137 |
| NPI Number | 1356857395 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 07/16/2024 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356857395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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