Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TC1900X | Counseling Psychologist | 36605 | TX |
Y | 103TE1100X | Exercise & Sports Psychologist | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1255629572 |
---|---|
Provider Name | Dr. Matthew Roy Atkins |
First Address | Denton, TX 76201-9016 |
Second Address | Colleyville, TX 76034-5994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2011 |
Last Update Date | 07/01/2015 |