Individual
MATTHEW DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 TERRY DR STE 118, NEWTOWN, PA 18940-1896
(215) 780-4357
Mailing address
140 TERRY DR STE 118, NEWTOWN, PA 18940-1896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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