Mattingly, Lee Megan

Mattingly, Lee Megan is an individual health care provider with primary practice located at 1311 N Dixie Ave Bldg C , Elizabethtown KY 42701-2621. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mattingly, Lee Megan can be contacted via phone (270) 692-1304.

Contact Information

Primary practice address
1311 N Dixie Ave Bldg C Elizabethtown KY 42701-2621
Phone: (270) 692-1304
Fax: (270) 234-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 170692 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0978

Profile Details

NPI number 1346401593
LBN Legal business name Mattingly, Lee Megan
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Sep 26th, 2022 - about 2 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 1346401593 NPPES
Kentucky MEDICAID 1790731081

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