Thompson, Matthew L

Thompson, Matthew L is an sole proprietor health care provider with primary practice located at 540 Hughes Rd , Madison AL 35758-8999. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thompson, Matthew L can be contacted via phone (256) 631-7898.

Contact Information

Primary practice address
540 Hughes Rd Madison AL 35758-8999
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356646210
LBN Legal business name Thompson, Matthew L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Apr 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356646210 NPPES
Alabama MEDICAID 330000025

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