Paul J Mattis in Westbury - Clinical Neuropsychologist

Paul J Mattis - NPI 1114066792

Paul J Mattis is a Clinical Neuropsychologist in Westbury, New York. Paul J Mattis practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Paul J Mattis is 1114066792. The last update date is 2019-10-23.

Paul J Mattis's current location address is 972 Brush Hollow Rd, Westbury, New York. You can contact this provider via phone number 5168765555 and fax number 5168765539. The mailing address for Paul J Mattis is 972 Brush Hollow Rd, Westbury, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul J Mattis
Address 972 Brush Hollow Rd, Westbury, New York
Phone Number 5168765555
Fax Number 5168765539
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1114066792
Provider Enumeration Date 2007-02-06
Last Updated Date 2019-10-23

Provider Mailing Address Detail

Address 972 Brush Hollow Rd
City Westbury
State New York (NY)
Post Code 115901740
Phone Number 5168765555
Fax Number 5168765539

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1708781 NY --

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FAQs about Paul J Mattis

What is the unique 10-digit identification code assigned to Paul J Mattis by the Centers for Medicare & Medicaid Services?

The Paul J Mattis has been issued the NPI (National Provider Identifier) 1114066792, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Paul J Mattis is geographically located?

The Paul J Mattis is physically situated at the following location: 972 Brush Hollow Rd, Westbury, NY, 115901740.

What is Paul J Mattis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul J Mattis is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Paul J Mattis receive the assignment of its 1114066792 from the Centers for Medicare & Medicaid Services?

The Paul J Mattis was issued its 1114066792 by the Centers for Medicare & Medicaid Services on 2007-02-06.

As of what date was the information pertaining to Paul J Mattis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Paul J Mattis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-23.

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