Organization
OPTIMUM PERFORMANCE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS V MATTHEWS PHD (MANAGING MEMBER)
(785) 273-5373
Entity
Organization
Contact information
Practice address
2709 SW 29TH ST, SUITE 102, TOPEKA, KS 66614-2085
(785) 273-5373
(785) 273-1373
Mailing address
2709 SW 29TH ST, SUITE 102, TOPEKA, KS 66614-2085
(785) 273-5373
(785) 273-1373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0665
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238980C
—
KS
Enumeration date
11/22/2011
Last updated
11/22/2011
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