Individual
MRS. BARBARA MATCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003686A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351972
BLUE CROSS BLUE SHIELD
IN
01
—
488768000
MAGELLAN
IN
01
—
5533023
AETNA
IN
Enumeration date
03/07/2007
Last updated
06/15/2016
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