Organization
MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STEPHEN BURGESS LEARY PH.D. (LICENSED PSYCHOLOGIST AND OWNER)
(704) 776-5584
Entity
Organization
Contact information
Practice address
1811 SARDIS ROAD NORTH, SUITE 207, CHARLOTTE, NC 28270
(704) 776-5584
(704) 845-6111
Mailing address
1811 SARDIS ROAD NORTH, SUITE 207, CHARLOTTE, NC 28270
(704) 776-5584
(704) 845-6111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3953
NC
103TC2200X
Clinical Child & Adolescent Psychologist
3953
NC
103TF0000X
Family Psychologist
3953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730397191
TYPE 1 NPI FOR OWNER, DR. MATTHEW BURGESS LEARY, PH.D.
—
Enumeration date
02/26/2014
Last updated
02/26/2014
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