Matherly, Dewey Truman
Matherly, Dewey Truman is an individual health care provider with primary practice located at 151 Kings Crest Ct , Kings Mtn NC 28086-8218. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Matherly, Dewey Truman can be contacted via phone (704) 730-8295.Contact Information
Primary practice address
151 Kings Crest Ct
Kings Mtn NC 28086-8218
Phone: (704) 730-8295
Fax: (704) 730-8295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C001231 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001231 | North Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 408 | North Carolina |
Profile Details
| NPI number | 1306889761 |
|---|---|
| LBN Legal business name | Matherly, Dewey Truman |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 25th, 2013 - about 13 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 | 1306889761 | NPPES |
| North Carolina | MEDICAID | 6002095 | |
| North Carolina | Other | 54683 |
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