Michele Mattie, Phd, Llc

LBN: Michele Mattie, Phd, Llc
Michele Mattie, Phd, Llc is an health care organization with primary practice located at 517 Pierce St Suite B, Kingston PA 18704-5731. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Michele Mattie, Phd, Llc can be contacted via phone (570) 718-1150, or through Mattie, Michele via phone (570) 718-1150.

Contact Information

Primary practice address
517 Pierce St Suite B Kingston PA 18704-5731
Phone: (570) 718-1150
Fax: (570) 714-1321
Website:
Map and Directions
Authorized official contact:
Name: Mattie, Michele PHD
Phone: (570) 718-1150

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS008609L Pennsylvania

Profile Details

NPI number 1477655314
LBN Legal business name Michele Mattie, Phd, Llc
DBA Doing business as
Authorized official Mattie, Michele PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477655314 NPPES
Pennsylvania Other 1285665075 INDIVIDUAL NPI
Pennsylvania Other 359151 INDIVIDUAL NPI

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