Matlock, Bonnie Esther

Matlock, Bonnie Esther is an sole proprietor health care provider with primary practice located at 247 Chateau Dr Sw , Huntsville AL 35801-6401. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Matlock, Bonnie Esther can be contacted via phone (256) 533-9393.

Contact Information

Primary practice address
247 Chateau Dr Sw Huntsville AL 35801-6401
Fax: (256) 533-9690
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2773 Alabama

Profile Details

NPI number 1083741334
LBN Legal business name Matlock, Bonnie Esther
Credentials L.P.C., L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated May 4th, 2010 - about 14 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 1083741334 NPPES
Virginia Other 224420000 MAGELLAN INFORMATION SYST

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