Melissa Mathews, Ph.D
Clinical Neuropsychologist in Bowling Green, KY. Individual provider (NPI-1).
NPI number1235339151
StatusActive
Last updated in NPPESApr 3, 2018
Details
- NPI
- 1235339151
- Entity type
- Individual (NPI-1)
- Name
- Melissa Mathews
- Credential
- Ph.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2007
- Last updated
- Apr 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 129920 | KY | Yes |
| 103G00000X | Clinical Neuropsychologist | 2012-52 | KY | |
| 103G00000X | Clinical Neuropsychologist | 3366 | TN |
Practice location
1300 Campbell LnBowling Green, KY 42104-4162
Phone 270-287-8134
Mailing address
224 Mark TrlBowling Green, KY 42101-9257
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