Mattie, Michele

Mattie, Michele is an sole proprietor health care provider with primary practice located at 517 Pierce St Suite B, Kingston PA 18704-5731. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mattie, Michele can be contacted via phone (570) 718-1150.

Contact Information

Primary practice address
517 Pierce St Suite B Kingston PA 18704-5731
Fax: (570) 714-1321
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS008609L Pennsylvania

Profile Details

NPI number 1285665075
LBN Legal business name Mattie, Michele
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1285665075 NPPES
Pennsylvania Other 2057094 CIGNA
Pennsylvania Other 359151 CIGNA

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