Laura Grace Matlack in Wellesley - Clinical
Laura Grace Matlack - NPI 1366698102
Laura Grace Matlack is a Clinical in Wellesley, Massachusetts. Laura Grace Matlack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Grace Matlack is 1366698102. The last update date is 2011-08-19.
Laura Grace Matlack's current location address is 11 Chapel Pl, Wellesley, Massachusetts. You can contact this provider via phone number 7812354950. The mailing address for Laura Grace Matlack is 11 Chapel Pl, Wellesley, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Grace Matlack |
|---|---|
| Address | 11 Chapel Pl, Wellesley, Massachusetts |
| Phone Number | 7812354950 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1366698102 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2011-08-19 |
Provider Mailing Address Detail
| Address | 11 Chapel Pl |
|---|---|
| City | Wellesley |
| State | Massachusetts (MA) |
| Post Code | 24813130 |
| Phone Number | 7812354950 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 9366 |
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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 10-digit identifier code assigned to Laura Grace Matlack by the Centers for Medicare & Medicaid Services?
The Laura Grace Matlack has been issued the NPI (National Provider Identifier) 1366698102 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Laura Grace Matlack is physically located?
The Laura Grace Matlack is situated at the following address: 11 Chapel Pl, Wellesley, MA 24813130.
What is Laura Grace Matlack's area of expertise and its corresponding taxonomy classification?
The Laura Grace Matlack's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1366698102 to Laura Grace Matlack?
The Laura Grace Matlack received its 1366698102 assignment from the Centers for Medicare & Medicaid Services on 2008-08-12.
When was the Laura Grace Matlack's information last updated?
The Laura Grace Matlack's information was last updated on 2011-08-19.
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