Theodore Adam Matheny
Addiction Psychologist (Substance Use Disorder)
203 Sweetbriar Ave
Cridersville
, Ohio 45806-2293
Theodore Adam Matheny
Addiction Psychologist (Substance Use Disorder)
203 Sweetbriar Ave
Cridersville
, Ohio 45806-2293
(740) 407-0757
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Theodore Adam Matheny
- 203 Sweetbriar Ave
- Cridersville, OH
- Zip : 45806-2293
- Phone : (740) 407-0757
Second Address
- Theodore Adam Matheny
- 203 Sweetbriar Ave
- Cridersville, OH
- Zip : 45806-2293
- Phone : (740) 407-0757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
National Provider Identifier
| NPI | 1245885029 |
|---|---|
| Provider Name | Theodore Adam Matheny |
| First Address | Cridersville, OH 45806-2293 |
| Second Address | Cridersville, OH 45806-2293 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
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.