Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 84177 | OH |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 4765 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4765 | OH |
Y | 103G00000X | Clinical Psychologist | 4765 | OH |
Y | 103TC0700X | Clinical Psychologist | 4765 | OH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4765 | OH |
N | 103TF0000X | Family Psychologist | 4765 | OH |
NPI | 1639356157 |
---|---|
Provider Name | Dr. Francis Joseph Matese |
First Address | Fairview Park, OH 44126-2824 |
Second Address | Rocky River, OH 44116-3437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 23/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0969519 | (05) | OH |