NPI 1497883979

Matthew Shane Owens, MA

Practitioner Community/Behavioral Health Agency Flint, MI

Practice location

Address: 420 W 5th Ave, Flint, MI 48503-2445
Phone: (248) 678-4749
Mailing address: 19705 Vine Dr, Macomb, MI 48044-6518

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 6301011431 (MI)

Other Community/Behavioral Health providers in Michigan →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6361005054 (MI)

Other Psychologist providers in Michigan →

Registry record

NPI: 1497883979
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2007
Record last updated: 9 Sep 2021

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.