Matthew S. Burgess Leary in Charlotte - Clinical
Matthew S. Burgess Leary - NPI 1730397191
Matthew S. Burgess Leary is a Clinical in Charlotte, North Carolina. Matthew S. Burgess Leary practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew S. Burgess Leary is 1730397191. The last update date is 2010-06-08.
Matthew S. Burgess Leary's current location address is 1923 J N Pease Pl, Charlotte, North Carolina. You can contact this provider via phone number 7045033535 and fax number 7045935555. The mailing address for Matthew S. Burgess Leary is 1923 J N Pease Pl, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew S. Burgess Leary |
|---|---|
| Address | 1923 J N Pease Pl, Charlotte, North Carolina |
| Phone Number | 7045033535 |
| Fax Number | 7045935555 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1730397191 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2010-06-08 |
Provider Mailing Address Detail
| Address | 1923 J N Pease Pl |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282624513 |
| Phone Number | 7045033535 |
| Fax Number | 7045935555 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3953 |
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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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What is the unique identifier code issued to Matthew S. Burgess Leary by the Centers for Medicare & Medicaid Services?
The Matthew S. Burgess Leary has been assigned the NPI (National Provider Identifier) 1730397191. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Matthew S. Burgess Leary is physically located?
The Matthew S. Burgess Leary is situated at the following address: 1923 J N Pease Pl, Charlotte, NC 282624513.
What is Matthew S. Burgess Leary's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew S. Burgess Leary is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730397191 to Matthew S. Burgess Leary?
The Matthew S. Burgess Leary received its 1730397191 assignment from the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the Matthew S. Burgess Leary's information last updated?
The Matthew S. Burgess Leary's information was last updated on 2010-06-08.