Dennis Mark Matlock in Yucca Valley - Addiction (substance Use Disorder)
Dennis Mark Matlock - NPI 1457490088
Dennis Mark Matlock is a Addiction (substance Use Disorder) in Yucca Valley, California. Dennis Mark Matlock practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dennis Mark Matlock is 1457490088. The last update date is 2007-07-08.
Dennis Mark Matlock's current location address is Po Box 2023, Yucca Valley, California. You can contact this provider via phone number 7603470754. The mailing address for Dennis Mark Matlock is Po Box 2023, Yucca Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Mark Matlock |
|---|---|
| Address | Po Box 2023, Yucca Valley, California |
| Phone Number | 7603470754 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RS1503 |
NPI Number Detail
| NPI Number | 1457490088 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2023 |
|---|---|
| City | Yucca Valley |
| State | California (CA) |
| Post Code | 922862023 |
| Phone Number | 7603470754 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Post Comment/ Review Below
What is the Dennis Mark Matlock's unique identification number?
The Dennis Mark Matlock has been assigned the NPI (National Provider Identifier) Number 1457490088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Dennis Mark Matlock?
The Dennis Mark Matlock is physically situated at Po Box 2023, in the city of Yucca Valley, state of CA, with the postal code 922862023.
What is Dennis Mark Matlock's area of expertise and its corresponding taxonomy classification?
The Dennis Mark Matlock's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Dennis Mark Matlock receive its 1457490088 assignment from the Centers for Medicare & Medicaid Services?
The Dennis Mark Matlock was assigned its 1457490088 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dennis Mark Matlock's details last updated?
The information pertaining to the Dennis Mark Matlock, including its address, specialty, and other details, was most recently updated on 2007-07-08.