Kidrick, Matt

Kidrick, Matt is an individual health care provider with primary practice located at 2 Hilltop Dr , Wilbraham MA 01095-1743. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Kidrick, Matt can be contacted via phone (772) 464-8833.

Contact Information

Primary practice address
2 Hilltop Dr Wilbraham MA 01095-1743
Phone: (772) 464-8833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1093472102
LBN Legal business name Kidrick, Matt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2021
Last updated Nov 23rd, 2021 - about 3 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.

Request for update

Popular Providers