Individual
PATRICE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 978-4305
Mailing address
8434 TEMPLE RD, PHILADELPHIA, PA 19150-1917
(267) 338-7119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
02/07/2022
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