Individual provider · Type 1 NPI

Matthew Blaine Wyman, LPC

Professional Counselor · Philadelphia, PA

NPI number 1013838796 Active

Practice location

1845 Walnut St Ste 1350
Philadelphia, PA 19103-4775

Call (610) 892-3800 Map

Mailing address

1337 N 29th St
Philadelphia, PA 19121-4503

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC020604 (PA)

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About NPI 1013838796

Matthew Blaine Wyman, LPC's National Provider Identifier is 1013838796, issued on Jul 21, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 23, 2026.