Provider Demographics
NPI:1689939571
Name:TUMAN, MATTHEW C
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:C
Last Name:TUMAN
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 1:1843 BOWLER ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-3228
Mailing Address - Country:US
Mailing Address - Phone:267-408-5482
Mailing Address - Fax:
Practice Address - Street 1:1843 BOWLER ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19115-3228
Practice Address - Country:US
Practice Address - Phone:267-408-5482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-07
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst