Robert Dudley Matzelle, is a
Psychologist - Clinical based in Annapolis Junction, Maryland. Robert Dudley Matzelle is licensed to practice in Wyoming (license number 450) and his current practice location is
2701 Technology Dr, Annapolis Junction, Maryland. He can be reached at his office (for appointments etc.) via phone at
(240) 280-3284.
NPI number for Robert Dudley Matzelle is 1578750014 and his current mailing address is Po Box 6005, Evanston, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578750014.
Healthcare Provider's Profile
Full Name | Robert Dudley Matzelle |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2701 Technology Dr, Annapolis Junction, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578750014
- Provider Enumeration Date: 09/28/2007
- Last Update Date: 02/20/2024
Medical Identifiers
Medical identifiers for Robert Dudley Matzelle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578750014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 450 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Dudley Matzelle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Dudley Matzelle, Po Box 6005, Evanston, WY 82931-6005 Ph: (307) 789-3710 | Robert Dudley Matzelle, 2701 Technology Dr, Annapolis Junction, MD 20701-1017 Ph: (240) 280-3284 |
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