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Matthew Thomas Knorpp

Peer Specialist in Redwood City, CA. Individual provider (NPI-1).

NPI number1255162012
StatusActive
Last updated in NPPESAug 12, 2024

Details

NPI
1255162012
Entity type
Individual (NPI-1)
Name
Matthew Thomas Knorpp
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2024
Certification date
Aug 12, 2024
Last updated
Aug 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistMPSS-TKXIQFCAYes

Practice location

631 Woodside Rd
Redwood City, CA 94061-3847

Phone 650-367-9030

Mailing address

631 Woodside Rd # A
Redwood City, CA 94061-3847

Phone 650-367-9030

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