| Doctor Name: | WILLIAM BRYAN MATTHEWS |
| NPI Number: | 1093855520 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., C.R.C., L.P.C. |
| License Number: | 2002010848 |
| Business Practice Address: | 13160 Co Rd 3610 Boys And Girls Town Of Missouri St. James, MO - 655590189 |
| Business Phone Number: | 5732653251 |
| Business Fax Number: | 5732655310 |
| Mailing Address: | 17051 Highway 8, SAINT JAMES |
| State: | MO |
| Postal Code: | 655598222 |
| Phone Number: | 5732651959 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2002010848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |