Doctor Name: | DR. MATHEW BIJOY MATHEW |
NPI Number: | 1558462374 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD11990 |
Business Practice Address: | 422 Worcester St Suite 204 Wellesley Hills, MA - 024815341 |
Business Phone Number: | 6178724928 |
Business Fax Number: | 7814167379 |
Mailing Address: | 422 Worcester St, Suite 204 WELLESLEY HILLS |
State: | MA |
Postal Code: | 024815341 |
Phone Number: | 6178724928 |
Fax Number: | 7814167379 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | MD11990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |