Individual
DR. BEVERLY J MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3517 CARNOUSTIE DR, SPRINGFIELD, IL 62712
(217) 529-4851
Mailing address
PO BOX 2416, DECATUR, IL 62524-2416
(217) 825-9010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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