Dr. Matthew Aaron Southard
Clinical Psychologist
287 W 147th St Apt 5c
New York
, New York 10039-3443
Dr. Matthew Aaron Southard
Clinical Psychologist
287 W 147th St Apt 5c
New York
, New York 10039-3443
(716) 908-3059
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Aaron Southard
- 287 W 147th St Apt 5c
- New York, NY
- Zip : 10039-3443
- Phone : (716) 908-3059
Second Address
- Dr. Matthew Aaron Southard
- 287 W 147th St Apt 5c
- New York, NY
- Zip : 10039-3443
- Phone : (716) 908-3059
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 023407 | NY |
| Y | 103TC0700X | Clinical Psychologist | 023407 | NY |
National Provider Identifier
| NPI | 1003439027 |
|---|---|
| Provider Name | Dr. Matthew Aaron Southard |
| First Address | New York, NY 10039-3443 |
| Second Address | New York, NY 10039-3443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2020 |
| Last Update Date | 26/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.