Mattis, Dalia

Mattis, Dalia is an individual health care provider with primary practice located at 5450 Nw Central Dr Ste 109 , Houston TX 77092-2024. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mattis, Dalia can be contacted via phone (713) 895-0062.

Contact Information

Primary practice address
5450 Nw Central Dr Ste 109 Houston TX 77092-2024
Phone: (713) 895-0062
Fax: (713) 895-0062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 17843 Texas

Profile Details

NPI number 1003001074
LBN Legal business name Mattis, Dalia
Credentials ED D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 17 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 1003001074 NPPES
Texas MEDICAID 165725601

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