William Richard Mathis
Counselor Psychologist Behavior Analyst Clinical Child & Adolescent Psychologist and 1 more
171 Comtech Dr
Pembroke
, North Carolina 28372-7270
William Richard Mathis
Counselor Psychologist Behavior Analyst Clinical Child & Adolescent Psychologist and 1 more
171 Comtech Dr
Pembroke
, North Carolina 28372-7270
(910) 258-7796
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About
Features
Specialties
- Counselor
- Behavior Analyst
- Psychologist
- Clinical Child & Adolescent Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- William Richard Mathis
- 402 Pinelake Park Rd
- Pembroke, NC
- Zip : 28372-9212
- Phone : (910) 258-7796
Second Address
- William Richard Mathis
- 171 Comtech Dr
- Pembroke, NC
- Zip : 28372-7270
- Phone : (910) 736-3351
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | 0537 | NC |
| N | 103K00000X | Behavior Analyst | 0537 | NC |
| Y | 102L00000X | Psychologist | 0537 | NC |
| Y | 103T00000X | Psychologist | 0537 | NC |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 537 | NC |
| N | 103TM1800X | Intellectual & Developmental Disabilities | 0537 | NC |
National Provider Identifier
| NPI | 1093049199 |
|---|---|
| Provider Name | William Richard Mathis |
| First Address | Pembroke, NC 28372-9212 |
| Second Address | Pembroke, NC 28372-7270 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2009 |
| Last Update Date | 17/12/2009 |
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.