Healthcare Provider Details

I. General information

NPI: 1164280590
Provider Name (Legal Business Name): MATTHEW SCHURR PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 N LITCHFIELD RD STE 200
GOODYEAR AZ
85395-1664
US

IV. Provider business mailing address

2440 N LITCHFIELD RD STE 200
GOODYEAR AZ
85395-1664
US

V. Phone/Fax

Practice location:
  • Phone: 623-977-6860
  • Fax: 623-977-2016
Mailing address:
  • Phone: 623-977-6860
  • Fax: 623-977-2016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY-006110
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: