Provider Demographics
NPI:1225520513
Name:HAYES, MATTHEW PETER
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:PETER
Last Name:HAYES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-3017
Mailing Address - Country:US
Mailing Address - Phone:978-873-5327
Mailing Address - Fax:
Practice Address - Street 1:10 PINE AVE
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-3017
Practice Address - Country:US
Practice Address - Phone:978-873-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst