MATTHEW W DITSLEAR LMFT NPI 1508538729

NPI Information

NPI: 1508538729
Provider Name: MATTHEW W DITSLEAR, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
520 SUN LAKE DR
PORT ORANGE, FL
ZIP 32127
Phone: (904) 536-0709
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Matthew W Ditslear, LMFT is a mental health counselor in Port Orange, FL. Matthew W Ditslear, LMFT NPI is 1508538729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 SUN LAKE DR
PORT ORANGE, FL
ZIP 32127-129
Phone: (904) 536-0709

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2754	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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