MEDICARE: PSYCH MATTERS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1285114454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCH MATTERS PLLC

Provider Business Mailing Address
First Line	:	4801 WOODWAY DR STE 306W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1828
Country	:	US
Telephone Number	:	832-225-3345
Fax Number	:	713-583-1504

Provider Business Practice Location Address
First Line	:	4801 WOODWAY DR STE 306W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1828
Country	:	US
Telephone Number	:	832-225-3345
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREW MATTERN
Credential	:	LPC
Telephone Number	:	832-439-6320

Provider Enumeration Date	:	08/17/2018
Last Update Date	:	03/01/2022

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