Matusewicz, Marlena Nicole

Matusewicz, Marlena Nicole is an individual health care provider with primary practice located at 501 Billingsley Rd , Charlotte NC 28211-1009. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Matusewicz, Marlena Nicole can be contacted via phone (704) 358-2744.

Contact Information

Primary practice address
501 Billingsley Rd Charlotte NC 28211-1009
Phone: (704) 358-2744
Fax: (704) 358-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4499 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1588705248
LBN Legal business name Matusewicz, Marlena Nicole
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 28th, 2016 - about 8 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 1588705248 NPPES
North Carolina MEDICAID 1588705248
North Carolina MEDICAID PS0538

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