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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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