DR. BEN F MCMATH III


Address: 902 Main Ave, Ste G, Northport, AL 35476-4434
Phone: 2053104497

DR. BEN F MCMATH III (NPI# 1730462060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730462060
Entity Type Individual
Full Name DR. BEN F MCMATH III
Credential PH.D.
Practice Address 902 Main Ave
Ste G
Northport
AL 35476-4434
Mailing Address 10980 Meadows Cir
Vance
AL 35490
Practice Telephone 2053104497
Mailing Telephone 2053104497
Enumeration Date 2011-09-22
Last Update Date 2011-09-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1489 AL Behavioral Health & Social Service Providers

Office Location

Street Address 902 MAIN AVE
STE G
City NORTHPORT
State AL
Zip Code 35476-4434

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1417958471 David Wayne Gately Psychologist 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 2005-08-02
1942600358 Jennifer A. Sawaya Psychologist 79 Middleville Rd, Northport, NY 11768-2200 2014-09-04
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Competitor

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City NORTHPORT
Zip Code 35476

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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