Individual
DR. MATTHEW RYAN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4904 WATERS EDGE DR STE 260, RALEIGH, NC 27606-8162
(919) 322-9554
Mailing address
409 BOLIN CT, RALEIGH, NC 27603-2274
(318) 267-6991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6437
NC
Other
Enumeration date
12/05/2019
Last updated
03/21/2025
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