Theodore Adam Matheny

NPI #1245885029 in Cridersville, Ohio

Provider Information

NPI Number: 1245885029
Entity Type: Individual
Name: Theodore Adam Matheny
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Enumeration Date: Aug 7, 2019
Last Updated: Aug 7, 2019

Practice Location

Address: 203 SWEETBRIAR AVE
City: Cridersville
State: Ohio
ZIP Code: 45806-2293
Phone: (740) 407-0757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary

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