Morrissette, Matthew P

Morrissette, Matthew P is an individual health care provider with primary practice located at 366 Sw 5Th Ave Ste 100, Meridian ID 83642-8600. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Morrissette, Matthew P can be contacted via phone (208) 898-9755.

Contact Information

Primary practice address
366 Sw 5Th Ave Ste 100 Meridian ID 83642-8600
Phone: (208) 898-9755
Fax: (208) 898-2544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-2797 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-3444 Idaho

Profile Details

NPI number 1083776256
LBN Legal business name Morrissette, Matthew P
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 19th, 2008 - about 15 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 1083776256 NPPES
Idaho Other 000010157489 REGENCE BLUE SHIELD
Idaho Other Q7362 REGENCE BLUE SHIELD

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