Healy, John Matthew

Healy, John Matthew is an individual health care provider with primary practice located at 3100 W Lake St Ste 210 , Minneapolis MN 55416-4597. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Healy, John Matthew can be contacted via phone (612) 925-6033.

Contact Information

Primary practice address
3100 W Lake St Ste 210 Minneapolis MN 55416-4597
Phone: (612) 925-6033
Fax: (612) 925-8496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X LP4567 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4567 Minnesota

Profile Details

NPI number 1659580330
LBN Legal business name Healy, John Matthew
Credentials PHD LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 21st, 2022 - 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 1659580330 NPPES
Minnesota Other 808S6HE BLUE CROSS BLUE SHIELD

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