Individual provider · Type 1 NPI

Jonathan Fleischacker Mattanah, PhD

Clinical Psychologist · Towson, MD

NPI number 1750417598 Active

Practice location

6525 N Charles St, Gibson Building, West Wing, Suite 244
Towson, MD 21204-6872

Fax (410) 825-7105

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X3649 (MD)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1750417598

Jonathan Fleischacker Mattanah, PhD's National Provider Identifier is 1750417598, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Towson, MD. The record was last updated on Jul 8, 2007.