Mr. Matthew John Distefano
Professional Counselor
150 Pittsburgh St
Uniontown
, Pennsylvania 15401-2354
Mr. Matthew John Distefano
Professional Counselor
150 Pittsburgh St
Uniontown
, Pennsylvania 15401-2354
(304) 904-0740
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mr. Matthew John Distefano
- 94 Antietam Dr
- Morgantown, WV
- Zip : 26508-9005
- Phone : (304) 904-0740
Second Address
- Mr. Matthew John Distefano
- 150 Pittsburgh St
- Uniontown, PA
- Zip : 15401-2354
- Phone : (724) 415-9555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YP2500X | Professional Counselor | 2037 | WV |
| Y | 101YP2500X | Professional Counselor | PC005413 | PA |
National Provider Identifier
| NPI | 1003083635 |
|---|---|
| Provider Name | Mr. Matthew John Distefano |
| First Address | Morgantown, WV 26508-9005 |
| Second Address | Uniontown, PA 15401-2354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2008 |
| Last Update Date | 20/04/2012 |
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.