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MR. MATTHEW D ALMEIDA BOCO, LO, C.PED
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1700163391
Individual Registrant:MR. MATTHEW D ALMEIDA BOCO, LO, C.PED
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1919 PALMYRA RD ALBANY, GA 31701-1574 US
Tel: 229-430-9778 Fax: 229-430-1347
Tel: 229-430-9778 Fax: 229-430-1347
Contact information for business:
1919 PALMYRA RD ALBANY, GA 31701-1574 US
Tel: 229-430-9778 Fax: 229-430-1347
Tel: 229-430-9778 Fax: 229-430-1347
Registration Information:
NPI: 1700163391
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | ||
| N | 101YP1600X | Behavioral Health & Social Service Providers Counselor | ||
| N | 224L00000X | |||
| Y | 222Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Orthotist | GA | 110 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
