Individual
DR. MATTHEW AARON SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
287 W 147TH ST APT 5C, NEW YORK, NY 10039-3443
(716) 908-3059
Mailing address
287 W 147TH ST APT 5C, NEW YORK, NY 10039-3443
(716) 908-3059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023407
NY
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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