Youngberg, Matthew Sherman

Youngberg, Matthew Sherman is an sole proprietor health care provider with primary practice located at 859 S Yellowstone Hwy #304 , Rexburg ID 83440-5294. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Youngberg, Matthew Sherman can be contacted via phone (208) 313-7464.

Contact Information

Primary practice address
859 S Yellowstone Hwy #304 Rexburg ID 83440-5294
Phone: (208) 313-7464
Fax: (208) 907-0972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LFMT-3748 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LMFT-3748 Idaho

Profile Details

NPI number 1629287354
LBN Legal business name Youngberg, Matthew Sherman
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated May 26th, 2021 - about 4 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 1629287354 NPPES
Idaho MEDICAID 002648300

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