MD Matt LLC
NPI #1669941175 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1669941175
- Entity Type
- Organization
- Organization Name
- MD Matt LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 14, 2018
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 10220 S DOLFIELD RD STE 106
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117-3660
- Phone
- (443) 559-4137
Authorized Official
- Name
- WILLIAM CORY SHAFFER
- Title
- CARE COORDINATOR
- Phone
- (443) 559-4137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Social Worker - Clinical — Clinical |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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