NPI 1114419173

Matthew Joseph McDonough, CPSS

Practitioner Peer Specialist Redford, MI

Practice location

Address: 9315 Telegraph Rd, Redford, MI 48239-1260
Phone: (313) 450-4500

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1114419173
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2018
Record last updated: 5 Jun 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.