Doctor Name: | MR. MATT A SHATZMAN |
NPI Number: | 1003822388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 2007035327 |
Business Practice Address: | 8820 Ladue Rd Suite 306 Saint Louis, MO - 631242079 |
Business Phone Number: | 3143973775 |
Business Fax Number: | |
Mailing Address: | 159 Hammel Ave, SAINT LOUIS |
State: | MO |
Postal Code: | 631192214 |
Phone Number: | 3143973775 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 08/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2007035327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |