Matthew John McDermott

Individual provider Active NPI Rehabilitation Counselor · Elk Point, SD

NPI 1902015795 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902015795
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Counselor 225C00000X
Practice address
1405 Saint Andrews Dr
Elk Point, SD 57025-2240
Phone
(605) 761-0182
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Yes

Addresses

Primary practice location

1405 Saint Andrews Dr
Elk Point, SD 57025-2240

Mailing address

1405 Saint Andrews Dr
Elk Point, SD 57025-2240
Phone (605) 761-0182

Other providers in Elk Point, SD

All providers in Elk Point, SD · Rehabilitation Counselor in South Dakota

Sources for this page

Verify at the official NPI Registry.