Matt Costley is a Clinical in Monett, Missouri. Matt Costley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matt Costley is 1629225685. The last update date is 2016-08-08.
Matt Costley's current location address is 2200 E Cleveland St, Monett, Missouri. You can contact this provider via phone number 4172362600 and fax number 4172362619. The mailing address for Matt Costley is 2200 E Cleveland St, Monett, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matt Costley |
|---|---|
| Address | 2200 E Cleveland St, Monett, Missouri |
| Phone Number | 4172362600 |
| Fax Number | 4172362619 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1629225685 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2016-08-08 |
Provider Mailing Address Detail
| Address | 2200 E Cleveland St |
|---|---|
| City | Monett |
| State | Missouri (MO) |
| Post Code | 657086149 |
| Phone Number | 4172362600 |
| Fax Number | 4172362619 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2010032191 |
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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 issued to Matt Costley by the Centers for Medicare & Medicaid Services?
The Matt Costley has been assigned the NPI (National Provider Identifier) 1629225685 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Matt Costley is geographically located?
The Matt Costley is physically situated at the following location: 2200 E Cleveland St, Monett, MO, 657086149.
What is Matt Costley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matt Costley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Matt Costley's 1629225685 issued?
The Matt Costley's 1629225685 was issued on 2008-08-21.
When was the Matt Costley's information last updated?
The Matt Costley's information was last updated on 2016-08-08.
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