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NPI Code Detail

MEDICARE: MATTHEW MCPEAK

MEDICARE: MATTHEW MCPEAK
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
1101Y00000XCounselorMA

General Provider Information

NPI Number : 1336664291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW MCPEAK
Provider Business Mailing Address
First Line : 3313 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02130-2691
Country : US
Telephone Number : 617-522-0652
Fax Number :
Provider Business Practice Location Address
First Line : 3313 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02130-2691
Country : US
Telephone Number : 617-522-0652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 07/21/2022

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Directions to “ MATTHEW MCPEAK ” Practice Location

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