Provider Demographics
NPI:1326215740
Name:STUBBLEFIELD, MATTHEW SINCLAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SINCLAIR
Last Name:STUBBLEFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 ALMA ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3501
Mailing Address - Country:US
Mailing Address - Phone:650-856-0406
Mailing Address - Fax:650-856-0140
Practice Address - Street 1:3303 ALMA ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3501
Practice Address - Country:US
Practice Address - Phone:650-856-0406
Practice Address - Fax:650-856-0140
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0724422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry