Hodge Matthews, Shardel

Hodge Matthews, Shardel is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hodge Matthews, Shardel can be contacted via phone (323) 344-5536.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 135160 California

Profile Details

NPI number 1467996272
LBN Legal business name Hodge Matthews, Shardel
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2016
Last updated Oct 20th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467996272 NPPES
California Other 7708 MEDI-CAL
California Other 7184 MEDI-CAL
California Other 7667 MEDI-CAL
California Other 7368 MEDI-CAL

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