Mary Ann Matta in Berkley - Addiction (substance Use Disorder)
Mary Ann Matta - NPI 1356465132
Mary Ann Matta is a Addiction (substance Use Disorder) in Berkley, Michigan. Mary Ann Matta practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Ann Matta is 1356465132. The last update date is 2007-07-08.
Mary Ann Matta's current location address is 2710 12 Mile Rd, Berkley, Michigan. You can contact this provider via phone number 2485431090 and fax number 2485430017. The mailing address for Mary Ann Matta is 2710 12 Mile Rd, Berkley, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Matta |
|---|---|
| Address | 2710 12 Mile Rd, Berkley, Michigan |
| Phone Number | 2485431090 |
| Fax Number | 2485430017 |
| Sole Proprietor | N |
| Credentials | RN, SWT, C |
NPI Number Detail
| NPI Number | 1356465132 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2710 12 Mile Rd |
|---|---|
| City | Berkley |
| State | Michigan (MI) |
| Post Code | 480721630 |
| Phone Number | 2485431090 |
| Fax Number | 2485430017 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 6803074335 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Mary Ann Matta's unique identification number?
The Mary Ann Matta has been assigned the NPI (National Provider Identifier) Number 1356465132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mary Ann Matta's facilities are situated?
The facilities of Mary Ann Matta are physically located at the following address: 2710 12 Mile Rd, Berkley, MI, 480721630.
What is Mary Ann Matta's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Ann Matta is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356465132 to Mary Ann Matta?
The Centers for Medicare & Medicaid Services assigned the 1356465132 to Mary Ann Matta on 2007-03-19.
When was the information regarding Mary Ann Matta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Ann Matta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.