Matlock, John D
Matlock, John D is an individual health care provider with primary practice located at 307 E Sevier St , Benton AR 72015-3934. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Matlock, John D can be contacted via phone (501) 315-4224.Contact Information
Primary practice address
307 E Sevier St
Benton AR 72015-3934
Phone: (501) 315-4224
Fax: (501) 776-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 866C | Arkansas |
Profile Details
| NPI number | 1124015078 |
|---|---|
| LBN Legal business name | Matlock, John D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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