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General NPI Number Information
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NPI Number | 1679485023
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Entity Type | Organization
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Legal Business Name | MATTHEW MOORHEAD THERAPY
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1616 W SHAW AVE STE D1
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City | FRESNO
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State | CA
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Zip | 93711-3513
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Country | US
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Telephone | 559-492-9181
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Fax |
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Provider Business Mailing Address
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Address Line | 9339 NORTHVIEW RD
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City | MIDDLETON
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State | ID
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Zip | 83644-5048
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Country | US
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Telephone | 559-667-1076
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | MR. MATTHEW R MOORHEAD
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Credential | M.A. LMFT
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Telephone | 559-667-1076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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