Johnson, Matthew Dean

Johnson, Matthew Dean is an sole proprietor health care provider with primary practice located at 1807 Prestwick Pl , Rogers AR 72758-1389. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Matthew Dean can be contacted via phone (479) 685-6595.

Contact Information

Primary practice address
1807 Prestwick Pl Rogers AR 72758-1389
Phone: (479) 685-6595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1000019-SUPV Ohio

Profile Details

NPI number 1114062312
LBN Legal business name Johnson, Matthew Dean
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated May 20th, 2013 - about 12 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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