Provider Demographics
NPI:1194015354
Name:CONLEY, MATTHEW R (MS)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:R
Last Name:CONLEY
Suffix:
Gender:M
Credentials:MS
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Mailing Address - Street 1:2945 TOWNSGATE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5803
Mailing Address - Country:US
Mailing Address - Phone:310-226-8486
Mailing Address - Fax:310-226-8486
Practice Address - Street 1:2945 TOWNSGATE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5803
Practice Address - Country:US
Practice Address - Phone:310-226-8486
Practice Address - Fax:310-226-8486
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG