Provider Demographics
NPI:1083350243
Name:CLEVER, MATTHEW M (LPC, MA, CAADC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:M
Last Name:CLEVER
Suffix:
Gender:M
Credentials:LPC, MA, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:PA
Mailing Address - Zip Code:15627-1356
Mailing Address - Country:US
Mailing Address - Phone:724-889-3076
Mailing Address - Fax:
Practice Address - Street 1:308 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:PA
Practice Address - Zip Code:15627-1356
Practice Address - Country:US
Practice Address - Phone:724-889-3076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014532101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional