Fowler, Matthew Bennett

Fowler, Matthew Bennett is an individual health care provider with primary practice located at 1000 E 24Th St , Kansas City MO 64108-2776. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Fowler, Matthew Bennett can be contacted via phone (816) 512-7293.

Contact Information

Primary practice address
1000 E 24Th St Kansas City MO 64108-2776
Phone: (816) 512-7293
Fax: (816) 512-7252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2017002014 Missouri
Behavioral Health & Social Service Providers / Forensic 103TF0200X 2017002014 Missouri

Profile Details

NPI number 1093229247
LBN Legal business name Fowler, Matthew Bennett
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2017
Last updated Nov 27th, 2017 - about 8 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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