John Lyle Matthews in Raleigh - Child & Adolescent Psychiatry
John Lyle Matthews - NPI 1548308471
John Lyle Matthews is a Child & Adolescent Psychiatry in Raleigh, North Carolina. John Lyle Matthews practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for John Lyle Matthews is 1548308471. The last update date is 2008-04-20.
John Lyle Matthews's current location address is 3725 National Dr, Raleigh, North Carolina. You can contact this provider via phone number 9197860055 and fax number 9197861337. The mailing address for John Lyle Matthews is 3725 National Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lyle Matthews |
|---|---|
| Address | 3725 National Dr, Raleigh, North Carolina |
| Phone Number | 9197860055 |
| Fax Number | 9197861337 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548308471 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 3725 National Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 2761240660 |
| Phone Number | 9197860055 |
| Fax Number | 9197861337 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 95-01331 |
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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 |
|---|---|---|---|
| 1225G | BCBS | ||
| 891225G | NC | -- |
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What is the unique 10-digit identifier code assigned to John Lyle Matthews by the Centers for Medicare & Medicaid Services?
The John Lyle Matthews has been issued the NPI (National Provider Identifier) 1548308471 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John Lyle Matthews located?
The John Lyle Matthews is located at 3725 National Dr, Raleigh, NC 2761240660.
What is the John Lyle Matthews's specialty and taxonomy code?
The John Lyle Matthews's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
On what date did the John Lyle Matthews receive its 1548308471 assignment from the Centers for Medicare & Medicaid Services?
The John Lyle Matthews was assigned its 1548308471 by the Centers for Medicare & Medicaid Services on 2007-02-02.
As of what date were the details pertaining to John Lyle Matthews last refreshed?
The information related to the John Lyle Matthews, including its address, specialty, and other relevant details, was last updated on 2008-04-20.