James, Matthew Gene

James, Matthew Gene is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. James, Matthew Gene can be contacted via phone (952) 993-3400.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 5427 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 5427 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5427 Minnesota

Profile Details

NPI number 1073880027
LBN Legal business name James, Matthew Gene
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2011
Last updated Mar 17th, 2018 - about 7 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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