Mejia, Matthew T
Mejia, Matthew T is an individual health care provider with primary practice located at 300 Colorado Ave , Pueblo CO 81004-2006. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mejia, Matthew T can be contacted via phone (719) 543-8711.Contact Information
Primary practice address
300 Colorado Ave
Pueblo CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-0171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY.0003759 | Colorado |
Profile Details
| NPI number | 1851507321 |
|---|---|
| LBN Legal business name | Mejia, Matthew T |
| Credentials | PSY D, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Apr 8th, 2024 - about 8 months 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 | 1851507321 | NPPES |
| Colorado | MEDICAID | 02954761 |
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