MD Matt LLC

NPI #1609547009 in Hyattsville, Maryland

Provider Information

NPI Number
1609547009
Entity Type
Organization
Organization Name
MD Matt LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MD MATT LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Sep 24, 2021
Last Updated
Dec 30, 2024

Practice Location

Address
6401 NEW HAMPSHIRE AVE
ZIP Code
20783-3201
Phone
(410) 364-8194

Authorized Official

Name
WILLIAM SHAFFER
Title
DIRECTOR
Phone
(443) 220-6122

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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