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Individual

DR. MATTHEW JOHN PARADISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1910 MORSE ST, HOUSTON, TX 77019-6113
(832) 519-1437
(832) 252-9471
Mailing address
PO BOX 130693, HOUSTON, TX 77219-0693
(832) 519-1437
(832) 252-9471

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33355
TX
103TC2200X
Clinical Child & Adolescent Psychologist
33355
TX

Other

Enumeration date
07/27/2007
Last updated
07/27/2007
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