Provider Demographics
NPI:1457439580
Name:ZAMASTIL, MATTHEW J (MA)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:J
Last Name:ZAMASTIL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1001 HIGHWAY 7
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-4723
Mailing Address - Country:US
Mailing Address - Phone:952-426-6606
Mailing Address - Fax:952-938-4708
Practice Address - Street 1:1001 HIGHWAY 7
Practice Address - Street 2:SUITE 305
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-4723
Practice Address - Country:US
Practice Address - Phone:952-426-6606
Practice Address - Fax:952-938-4708
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional