Moody, Matthew Dale

Moody, Matthew Dale is an individual health care provider with primary practice located at 9 Hanover St Ste 2 , Lebanon NH 03766-1312. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Moody, Matthew Dale can be contacted via phone (603) 448-0126.

Contact Information

Primary practice address
9 Hanover St Ste 2 Lebanon NH 03766-1312
Phone: (603) 448-0126
Fax: (603) 448-6001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Texas
Other Service Providers / Peer Specialist 175T00000X 2512019 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X Vermont

Profile Details

NPI number 1396308912
LBN Legal business name Moody, Matthew Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2019
Last updated Aug 11th, 2020 - about 5 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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