Provider Demographics
NPI:1033694229
Name:MATTHEWS, MATT ALAN (LADC/MENTAL HEALTH)
Entity type:Individual
Prefix:
First Name:MATT
Middle Name:ALAN
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:LADC/MENTAL HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 LANCASTER DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4931
Mailing Address - Country:US
Mailing Address - Phone:405-693-8965
Mailing Address - Fax:
Practice Address - Street 1:3033 NW 63RD ST STE E200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3633
Practice Address - Country:US
Practice Address - Phone:405-849-9041
Practice Address - Fax:405-286-0491
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health