Provider Demographics
NPI:1831751163
Name:MATOWE, DORCAS (PHD)
Entity type:Individual
Prefix:MS
First Name:DORCAS
Middle Name:
Last Name:MATOWE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 S UNIVERSITY DR # 283052
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33329-8573
Mailing Address - Country:US
Mailing Address - Phone:954-357-2829
Mailing Address - Fax:
Practice Address - Street 1:THE FAMILY INSTITUTE
Practice Address - Street 2:618 LIBRARY PLACE
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202
Practice Address - Country:US
Practice Address - Phone:847-733-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3670106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist