Matthew Waugh, LMFT
Individual provider Active NPI Marriage & Family Therapist · Berlin, MA
NPI 1053798413 · NPPES record last updated May 5, 2015
Key facts
- NPI
- 1053798413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1384 (MA)
- Practice address
- 34 Village LN
Berlin, MA 01503-1709 - Phone
- (978) 496-4943
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1384 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1384 | MA | Yes |
Addresses
Primary practice location
34 Village LN
Berlin, MA 01503-1709
Mailing address
34 Village LN
Berlin, MA 01503-1709
Phone (978) 496-4943
Other providers in Berlin, MA
All providers in Berlin, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.