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Contact Information

MATTHEW B DAVIS
24 SAND BAR DR
BAYVILLE, NJ08721-3548
 Phone: 859-379-9365
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MATTHEW B DAVIS · (Male)

NPI # 1841868437
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2021
Last updated 06/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ Medicaid 87-1155694
Hospital affiliation(s) Not Available
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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