Robert K Matlack in Fayetteville - Child & Adolescent Psychiatry
Robert K Matlack - NPI 1700881190
Robert K Matlack is a Child & Adolescent Psychiatry in Fayetteville, North Carolina. Robert K Matlack practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Robert K Matlack is 1700881190. The last update date is 2009-11-16.
Robert K Matlack's current location address is 2587 Ravenhill Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9103231543 and fax number 9104851257. The mailing address for Robert K Matlack is 2587 Ravenhill Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert K Matlack |
|---|---|
| Address | 2587 Ravenhill Dr, Fayetteville, North Carolina |
| Phone Number | 9103231543 |
| Fax Number | 9104851257 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700881190 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2009-11-16 |
Provider Mailing Address Detail
| Address | 2587 Ravenhill Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 2830354510 |
| Phone Number | 9103231543 |
| Fax Number | 9104851257 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 20021282 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 301980 | NC | MANAGED HEALTH NETWORK | |
| 7448603 | NC | AETNA | |
| 2123955 | NC | CIGNA | |
| 891327F | NC | -- | |
| 1327F | NC | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Robert K Matlack by the Centers for Medicare & Medicaid Services?
The Robert K Matlack has been assigned the NPI (National Provider Identifier) 1700881190. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert K Matlack's physical address?
The Robert K Matlack is physically located at 2587 Ravenhill Dr, in the city of Fayetteville, NC, with the postal code 2830354510.
What is Robert K Matlack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert K Matlack's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700881190 to Robert K Matlack?
The Centers for Medicare & Medicaid Services originally issued the 1700881190 to Robert K Matlack on 2005-06-14.
When was the information regarding Robert K Matlack most recently updated?
The details pertaining to the Robert K Matlack, including its address, specialty, and other relevant information, were last refreshed on 2009-11-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY