Matiatos, Irene

Matiatos, Irene is an sole proprietor health care provider with primary practice located at 23 Silver Darter Ln , Biltmore Lake NC 28715-9526. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Matiatos, Irene can be contacted via phone (551) 206-3762.

Contact Information

Primary practice address
23 Silver Darter Ln Biltmore Lake NC 28715-9526
Phone: (551) 206-3762
Fax: (828) 633-2143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 010778-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010778-1 New York
Behavioral Health & Social Service Providers / Family 103TF0000X 010778-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3902 North Carolina

Profile Details

NPI number 1215000773
LBN Legal business name Matiatos, Irene
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Sep 23rd, 2010 - about 15 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 1215000773 NPPES
New York Other S10778 WORKERS COMPENSATION
New York Other 386523 WORKERS COMPENSATION
New York Other P570970 WORKERS COMPENSATION
New York Other 6802210 WORKERS COMPENSATION

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