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MATT DE GEORGE
NPI 1689311524
Counselor in Brodheadsville, PA

Active since May 12, 2022
122 EDGEWOOD DR, BRODHEADSVILLE, PA 18322(570) 807-1607 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matt De George NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATT DE GEORGE (NPI 1689311524) is an individual counselor in Brodheadsville, Pennsylvania and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1689311524
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATT DE GEORGE
Location Address122 EDGEWOOD DRBrodheadsville, PA 18322-7787
Mailing Address122 Edgewood DrBrodheadsville, PA 18322-7787
Phone(570) 807-1607
Sole ProprietorYes
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1689311524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
122 EDGEWOOD DR, Brodheadsville, PA 18322
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt De George's NPI number?

The NPI number for Matt De George is 1689311524. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Matt De George located?

Matt De George practices at 122 Edgewood Dr, Brodheadsville, PA 18322. The listed phone number is (570) 807-1607.

What is Matt De George's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Matt De George was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.