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NPI Code Detail

MEDICARE: DR. MATTHEW D PARRISH PH.D., LPC

MEDICARE:  DR. MATTHEW D PARRISH  PH.D., LPC
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
1101YP2500XProfessional CounselorPC007957PA

General Provider Information

NPI Number : 1023486966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW D PARRISH PH.D., LPC
Provider Business Mailing Address
First Line : 501 SMITH DR
Second Line : SUITE 6
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-4133
Country : US
Telephone Number : 724-776-0350
Fax Number :
Provider Business Practice Location Address
First Line : 501 SMITH DR
Second Line : SUITE 6
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-4133
Country : US
Telephone Number : 724-776-0350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2015
Last Update Date : 09/09/2015

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