Boyer-Matthews, Tracy
Boyer-Matthews, Tracy is an individual health care provider with primary practice located at 3415 Wrightsville Ave , Wilmington NC 28403-4117. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Boyer-Matthews, Tracy can be contacted via phone (910) 791-5171.Contact Information
Primary practice address
3415 Wrightsville Ave
Wilmington NC 28403-4117
Phone: (910) 791-5171
Fax: (910) 791-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 3735 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3735 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3735 | North Carolina |
Profile Details
| NPI number | 1376518852 |
|---|---|
| LBN Legal business name | Boyer-Matthews, Tracy |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376518852 | NPPES |
| North Carolina | Other | 7582409 | AETNA |
| North Carolina | Other | 1281J | AETNA |
| North Carolina | Other | 206019 | AETNA |
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