Matos, Yarelis
Matos, Yarelis is an individual health care provider with primary practice located at One Pearl Street Suite 2000, Brockton MA 02301-2865. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Matos, Yarelis can be contacted via phone (508) 894-8577.Contact Information
Primary practice address
One Pearl Street Suite 2000
Brockton MA 02301-2865
Phone: (508) 894-8577
Fax: (508) 894-8578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 8034 | Massachusetts |
Profile Details
| NPI number | 1568430445 |
|---|---|
| LBN Legal business name | Matos, Yarelis |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568430445 | NPPES |
| Massachusetts | MEDICAID | 1859862 |
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