| Matthew Ryan Delamatter, MA | |
|
2115 County Road D E, Suite B, Maplewood, MN 55109-5353 | |
| (651) 748-5019 | |
| (651) 773-7591 |
| Full Name | Matthew Ryan Delamatter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2115 County Road D E, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891091211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | CC00987 (Minnesota) | Primary |
| Entity Name | Family Innovations Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Ryan Delamatter, MA 2115 County Road D E, Suite B, Maplewood, MN 55109-5353 Ph: (651) 748-5019 | Matthew Ryan Delamatter, MA 2115 County Road D E, Suite B, Maplewood, MN 55109-5353 Ph: (651) 748-5019 |
Mr. Andrew A Johnson, BA BS MSW LICSW LADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 981 Glendon St N, Maplewood, MN 55119 Phone: 612-354-9027 | |
Andrew S Rabe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3090 Hazelwood St Apt 102, Maplewood, MN 55109 Phone: 612-250-5718 | |
Mark Charles Lightner, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Cynthia Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 | |
Stephen Brennan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 White Bear Ave N, Maplewood, MN 55109 Phone: 612-235-4620 | |
Kiley Christine Krocak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Joel Lambrides, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E Ste B, Maplewood, MN 55109 Phone: 651-748-5019 |