| Organization Name: | MATTHEW REMICK PSYCHOLOGY, LLC |
| NPI Number: | 1679931398 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW LEE REMICK (OWNER) |
| Mailing Address: | 15 Office Park Cir Ste 140 Mountain Brk |
| State: | AL US |
| Postal Code: | 352232562 |
| Phone Number: | 2054387711 |
| Fax Number: | 2054387711 |
| NPI Enumeration Date: | 02/09/2016 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |