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NPI Code Detail

MEDICARE: SYDNEY MATHEWS

MEDICARE: SYDNEY MATHEWS
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1639011927
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY MATHEWS
Provider Business Mailing Address
First Line : 19117 ALLEN RD STE C
Second Line :
City : BROWNSTOWN TWP
State : MI
Zip : 48183-1066
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19117 ALLEN RD STE C
Second Line :
City : BROWNSTOWN TWP
State : MI
Zip : 48183-1066
Country : US
Telephone Number : 734-720-7694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ SYDNEY MATHEWS ” Practice Location

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