Banner, Matthew Ray

Banner, Matthew Ray is an sole proprietor health care provider with primary practice located at 732 Front St Ste. 202, Louisville CO 80027-1863. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Banner, Matthew Ray can be contacted via phone (720) 563-1505.

Contact Information

Primary practice address
732 Front St Ste. 202 Louisville CO 80027-1863
Phone: (720) 563-1505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1861539546
LBN Legal business name Banner, Matthew Ray
Credentials M.A, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Oct 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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