Individual
MATTHEW J VITEMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, LCSW
Contact information
Practice address
6937 N INTERSTATE 35, AUSTIN, TX 78752-3295
(737) 318-4269
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(737) 318-4269
(512) 727-0369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
59735
TX
163W00000X
Registered Nurse
1123431
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1123431
TX
Other
Enumeration date
04/25/2023
Last updated
02/26/2026
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