Provider Demographics
NPI:1275889669
Name:BARCLAY, MATTHEW ANDREW RIDER (LCPC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:ANDREW RIDER
Last Name:BARCLAY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12107 LERNER PL
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-2345
Mailing Address - Country:US
Mailing Address - Phone:301-741-3464
Mailing Address - Fax:301-498-4502
Practice Address - Street 1:13900 LAUREL LAKES AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5091
Practice Address - Country:US
Practice Address - Phone:301-498-4500
Practice Address - Fax:301-498-4502
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional