Jonathan Fleischack Mattanah in Towson - Clinical

Jonathan Fleischack Mattanah - NPI 1750417598

Jonathan Fleischack Mattanah is a Clinical in Towson, Maryland. Jonathan Fleischack Mattanah practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jonathan Fleischack Mattanah is 1750417598. The last update date is 2007-07-08.

Jonathan Fleischack Mattanah's current location address is 6525 N Charles St, Towson, Maryland. You can contact this provider via phone number 4109388457 and fax number 4108257105. The mailing address for Jonathan Fleischack Mattanah is 6525 N Charles St, Towson, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Fleischack Mattanah
Address 6525 N Charles St, Towson, Maryland
Phone Number 4109388457
Fax Number 4108257105
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1750417598
Provider Enumeration Date 2007-02-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6525 N Charles St
City Towson
State Maryland (MD)
Post Code 212046872
Phone Number 4109388457
Fax Number 4108257105

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 3649
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Jonathan Fleischack Mattanah

What is the Jonathan Fleischack Mattanah's unique identification number?

The Jonathan Fleischack Mattanah has been assigned the NPI (National Provider Identifier) Number 1750417598 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 street address where Jonathan Fleischack Mattanah is physically located?

The Jonathan Fleischack Mattanah is physically situated at the following address: 6525 N Charles St, Towson, MD, 212046872.

What is the area of specialization for Jonathan Fleischack Mattanah, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jonathan Fleischack Mattanah is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1750417598 to Jonathan Fleischack Mattanah?

The Centers for Medicare & Medicaid Services assigned the 1750417598 to Jonathan Fleischack Mattanah on 2007-02-26.

As of what date was the information pertaining to Jonathan Fleischack Mattanah, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan Fleischack Mattanah, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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