Matthew Brace
Individual provider Active NPI Marriage & Family Therapist · Scottsdale, AZ
NPI 1386043230 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1386043230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 15192 (AZ)
- Practice address
- 8541 E Anderson Dr Ste 105
Scottsdale, AZ 85255-5430 - Phone
- (480) 502-7000
- NPI assigned
- Aug 16, 2014
- 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 |
|---|---|---|---|
| 15192 | AZ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 15192 | AZ | Yes |
Addresses
Primary practice location
8541 E Anderson Dr Ste 105
Scottsdale, AZ 85255-5430
Mailing address
8541 E Anderson Dr Ste 105
Scottsdale, AZ 85255-5430
Phone (480) 502-7000
Other practice location 1
6100 W Gila Springs Pl
Chandler, AZ 85226-3491
Phone (480) 282-8778
Other practice location 2
6100 W Gila Springs Pl
Chandler, AZ 85226-3491
Phone (480) 282-8778
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.