NPI 1114416054

Nicholas Berton Matney, CPRS

Practitioner Peer Specialist Mansfield, OH

Practice location

Address: 680 Park Ave W, Mansfield, OH 44906-3706
Phone: (419) 528-5993
Fax: (567) 560-5483

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1114416054
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2018
Record last updated: 7 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.