Provider Demographics
NPI:1518440353
Name:MATTHEWS, CALEB OLIVER (MA, LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:OLIVER
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S LAKELINE BLVD STE 604
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2747
Mailing Address - Country:US
Mailing Address - Phone:512-774-5779
Mailing Address - Fax:
Practice Address - Street 1:201 S LAKELINE BLVD STE 604
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2747
Practice Address - Country:US
Practice Address - Phone:512-774-5779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor