Bovenkerk, Matthew Troy

Bovenkerk, Matthew Troy is an sole proprietor health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Bovenkerk, Matthew Troy can be contacted via phone (209) 525-5079.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 525-5079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC41226 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC41226 California

Profile Details

NPI number 1144354309
LBN Legal business name Bovenkerk, Matthew Troy
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jun 10th, 2023 - about 3 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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