Mattingly, Brad Todd

Mattingly, Brad Todd is an individual health care provider with primary practice located at 1750 S Woodlands Village Blvd Ste 135 , Flagstaff AZ 86001-2699. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mattingly, Brad Todd can be contacted via phone (602) 685-6000.

Contact Information

Primary practice address
1750 S Woodlands Village Blvd Ste 135 Flagstaff AZ 86001-2699
Phone: (602) 685-6000
Fax: (928) 679-2181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC1135 Arizona

Profile Details

NPI number 1386994564
LBN Legal business name Mattingly, Brad Todd
Credentials MA, LISAC, CDVC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Nov 7th, 2023 - about 2 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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