| Doctor Name: | MR. MATTHEW SCHROCK |
| NPI Number: | 1033534771 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 9856 |
| Business Practice Address: | 115 Mill St Recreation Building Belmont, MA - 024781064 |
| Business Phone Number: | 6178554427 |
| Business Fax Number: | 6178553776 |
| Mailing Address: | 115 Mill St, Recreation Building BELMONT |
| State: | MA |
| Postal Code: | 024781064 |
| Phone Number: | 6178554427 |
| Fax Number: | 6178553776 |
| NPI Enumeration Date: | 03/04/2014 |
| NPI Last Update Date: | 03/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 9856 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |