Provider Demographics
NPI:1841720687
Name:MATSON, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 HEARTHSONG DR
Mailing Address - Street 2:
Mailing Address - City:RIVERBANK
Mailing Address - State:CA
Mailing Address - Zip Code:95367-9512
Mailing Address - Country:US
Mailing Address - Phone:719-232-3644
Mailing Address - Fax:
Practice Address - Street 1:2532 HEARTHSONG DR
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367-9512
Practice Address - Country:US
Practice Address - Phone:719-232-3644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator