Doctor Name: | DR. DEBORAH RUTH MATTHEWS |
NPI Number: | 1003989591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 02968 |
Business Practice Address: | 29520 Canvasback Dr Easton, MD - 216017124 |
Business Phone Number: | 4108225007 |
Business Fax Number: | 4108225569 |
Mailing Address: | 2336 Goddard Pkwy, SALISBURY |
State: | MD |
Postal Code: | 218011126 |
Phone Number: | 4103346961 |
Fax Number: | 4103346961 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 02968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |