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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306889761 NPPES
North Carolina MEDICAID 6002095
North Carolina Other 54683

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