Gonzalez, Matthew B
Gonzalez, Matthew B is an individual health care provider with primary practice located at 1660 Piccard Dr , Rockville MD 20850-6693. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gonzalez, Matthew B can be contacted via phone (313) 410-9626.Contact Information
Primary practice address
1660 Piccard Dr
Rockville MD 20850-6693
Phone: (313) 410-9626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301007510 | Michigan |
Profile Details
| NPI number | 1497701361 |
|---|---|
| LBN Legal business name | Gonzalez, Matthew B |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 10th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497701361 | NPPES |
| Michigan | Other | 680H224080 | BCBSM |
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