Boyer-Matthews, Tracy

Boyer-Matthews, Tracy is an individual health care provider with primary practice located at 3415 Wrightsville Ave , Wilmington NC 28403-4117. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Boyer-Matthews, Tracy can be contacted via phone (910) 791-5171.

Contact Information

Primary practice address
3415 Wrightsville Ave Wilmington NC 28403-4117
Phone: (910) 791-5171
Fax: (910) 791-5777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3735 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3735 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 3735 North Carolina

Profile Details

NPI number 1376518852
LBN Legal business name Boyer-Matthews, Tracy
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376518852 NPPES
North Carolina Other 7582409 AETNA
North Carolina Other 1281J AETNA
North Carolina Other 206019 AETNA

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