Doctor Name: | WILLIAM RICHARD MATHIS |
NPI Number: | 1093049199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 0537 |
Business Practice Address: | 171 Comtech Dr Pembroke, NC - 283727270 |
Business Phone Number: | 9107363351 |
Business Fax Number: | |
Mailing Address: | 402 Pinelake Park Rd, PEMBROKE |
State: | NC |
Postal Code: | 283729212 |
Phone Number: | 9102587796 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0537 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |