Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 02968 | MD |
Y | 103TC0700X | Clinical Psychologist | 02968 | MD |
NPI | 1003989591 |
---|---|
Provider Name | Dr. Deborah Ruth Matthews |
First Address | Salisbury, MD 21801-1126 |
Second Address | Easton, MD 21601-7124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 13/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259147-000 | MAGELLAN GROUP (01) | MD |
346646 | MHN GROUP (01) | MD |
517251 | UBH GROUP (01) | MD |
522156095 | COMMERCIAL INSURANCE (01) | MD |
609550001 | (05) | MD |
609550002 | (05) | MD |
609550004 | (05) | MD |
LM49EA | CAREFIRST BCBS-GROUP (01) | MD |
R968 | CAREFIRST BCBS - FEDERAL GROUP (01) | MD |