Blakeley, Matthew Thomas

Blakeley, Matthew Thomas is an individual health care provider with primary practice located at 8495 Crater Lake Hwy , White City OR 97503-3011. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blakeley, Matthew Thomas can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2009010489 Missouri

Profile Details

NPI number 1457659948
LBN Legal business name Blakeley, Matthew Thomas
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2011
Last updated Mar 7th, 2011 - about 15 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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