Matt Costley PSY.D., PLP, LPC

NPI 1629225685 - Counselor - 101YP2500X

NPI Details
NPI 1629225685
Gender Male
Enumeration Date 08/21/2008
Last Updated 09/29/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
864 E HWY 60
SUITE F
MONETT MO, 65708-9376, US
Phone (417) 597-4309
Fax (417) 763-3308
Business Location
864 E HWY 60
SUITE F
MONETT MO, 65708-9376, US
Phone (417) 597-4309
Fax (417) 763-3308
Toxanomy
Taxonomy Code 101YP2500X
License State Missouri
License Number 2008025551
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According to our database, Mr. Matt Costley PSY.D., PLP, LPC NPI is 1629225685, taxonomy code is 101YP2500X and license number is 2008025551, license state is located at Missouri. Matt Costley PSY.D., PLP, LPC physically located at 864 E Hwy 60, Monett MO, 65708-9376. NPI Number Matt Costley PSY.D., PLP, LPC has the Individual type.

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1629225685 NPI number is provided on an as is basis without warranty of any kind. 1629225685 is maintained by the National Plan & Provider Enumeration System. The contents of Matt Costley PSY.D., PLP, LPC are for informational purposes only.