DR. MATT SHOLLENBERGER PHD NPI 1063514875

NPI Information

NPI: 1063514875
Provider Name: DR. MATT SHOLLENBERGER, PHD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
833 N PARK RD STE 204
WYOMISSING, PA
ZIP 19610
Phone: (484) 459-6423
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DR. Matt Shollenberger, PHD is a professional counselor in Wyomissing, PA. DR. Matt Shollenberger, PHD NPI is 1063514875. 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:

833 N PARK RD STE 204
WYOMISSING, PA
ZIP 19610-341
Phone: (484) 459-6423
Fax: (484) 388-4359

The enumeration date for this NPI number is 9/2/2006 and was last updated on 3/20/2020.

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	101YP2500X	Counselor	Professional	PC002868	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2319238000	OTHER	PENNSYLVANIA	IBC
2	592454000	OTHER	PENNSYLVANIA	KEYSTONE
3	7784522	OTHER	PENNSYLVANIA	AETNA

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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