Provider Demographics
NPI:1568602902
Name:GURWELL, MATTHEW J
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:J
Last Name:GURWELL
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 1:34468 CEDAR TRL
Mailing Address - Street 2:SUITE #7
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-2995
Mailing Address - Country:US
Mailing Address - Phone:216-904-8841
Mailing Address - Fax:
Practice Address - Street 1:34468 CEDAR TRL
Practice Address - Street 2:SUITE #7
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-2995
Practice Address - Country:US
Practice Address - Phone:216-904-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor