Cornu, Matthew Gerald

Cornu, Matthew Gerald is an individual health care provider with primary practice located at 1351 Newtown Pike Bldg 1 , Lexington KY 40511-1277. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Cornu, Matthew Gerald can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Bldg 1 Lexington KY 40511-1277
Phone: (859) 253-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 287652 Kentucky

Profile Details

NPI number 1922639129
LBN Legal business name Cornu, Matthew Gerald
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Aug 30th, 2023 - about 2 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 1922639129 NPPES
Kentucky MEDICAID 1790731081

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