Provider Demographics
NPI:1649381765
Name:MATTHEWS, WILLIAM H (PH D)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VILLAGE LN STE 3
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2617
Mailing Address - Country:US
Mailing Address - Phone:828-774-5045
Mailing Address - Fax:828-774-5047
Practice Address - Street 1:1 VILLAGE LN STE 3
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2617
Practice Address - Country:US
Practice Address - Phone:828-774-5045
Practice Address - Fax:828-774-5047
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0450103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC04072OtherBCBS
NC2812526AMedicare PIN