Doctor Name: | MR. MATTHEW M WINGER |
NPI Number: | 1184741209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 321 N Furnace St Suite 40 Matthew Brooke Building Birdsboro, PA - 19508 |
Business Phone Number: | 6103269250 |
Business Fax Number: | 6103278726 |
Mailing Address: | 212 High St, Suite 103 POTTSTOWN |
State: | PA |
Postal Code: | 19464 |
Phone Number: | 4849410500 |
Fax Number: | 4849410515 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |