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Contact Information

MATTHEW J LAURENCELLE, MD
6019 WALNUT GROVE RD
MEMPHIS, TN38120-2113
 Phone: 901-226-3610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MATTHEW J LAURENCELLE · (Male)

NPI Number 1619239548
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2012
Last updated 01/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301101016
  • TN License # 72564
Hospital affiliation(s)
  • BRIGHTON HOSPITAL - (Acute Care)
    12851 GRAND RIVER RD
    BRIGHTON, MI 48116
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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