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Individual

DR. MATTHEW ERIC DENIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005515
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003932032
BLUE CROSS BLUE SHIELD
IL
01
045146
HEALTH ALLIANCE
01
2234448
FIRST HEALTH
01
229753000
MAGELLAN
01
429954
HEALTHLINK
01
7184111
AETNA
01
UNSPECIFIED
GREAT-WEST HEALTHCARE
Enumeration date
08/14/2006
Last updated
03/06/2024
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