Matteo, Terrence M

Matteo, Terrence M is an sole proprietor health care provider with primary practice located at 10616 S 43Rd St , Phoenix AZ 85044-1305. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Matteo, Terrence M can be contacted via phone (480) 382-4142.

Contact Information

Primary practice address
10616 S 43Rd St Phoenix AZ 85044-1305
Phone: (480) 382-4142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X AZ3877 Arizona
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 3877 Arizona

Profile Details

NPI number 1205988474
LBN Legal business name Matteo, Terrence M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Aug 27th, 2014 - about 11 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 1205988474 NPPES
Arizona MEDICAID 211835

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