Organization · Type 2 NPI
Matclinic Physicians Practice Group LLC
Addiction Medicine (Internal Medicine) Physician · Annapolis, MD
Practice location
107 Ridgely Ave Ste 12
Annapolis, MD 21401-1417
Fax (410) 862-0150
Mailing address
PO Box 9068
Baltimore, MD 21222-0768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
5 other providers at this address
- Matclinic Physicians Practice Group LLCAddiction (Substance Use Disorder) Counselor Annapolis, MD NPI 1174175632
- Matclinic Physicians Practice Group LLCMental Health Clinic/Center (Including Community Mental Health Center) Annapolis, MD NPI 1316557051
- Matclinic Physicians Practice Group LLCSubstance Use Disorder Rehabilitation Clinic/Center Annapolis, MD NPI 1821647934
- Matclinic Physicians Practice Group LLCCommunity/Behavioral Health Agency Annapolis, MD NPI 1841840808
- Megan Reine Tudela, LMSWClinical Social Worker Annapolis, MD NPI 1275446262
About NPI 1356801534
Matclinic Physicians Practice Group LLC's National Provider Identifier is 1356801534, issued on Mar 22, 2019. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Annapolis, MD. The record was last updated on May 11, 2022.