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MR. MALCOLM RAY MATZDORFF JR.
NPI 1992452098
Counselor - Professional in Elizabethtown, KY

Active since March 08, 2022
612 E DIXIE AVE, ELIZABETHTOWN, KY 42701(270) 982-7378 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Malcolm Ray Matzdorff Jr. NPPES

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

MR. MALCOLM RAY MATZDORFF JR. (NPI 1992452098) is an individual professional provider in Elizabethtown, Kentucky and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1992452098
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MALCOLM RAY MATZDORFF JR.
Location Address612 E DIXIE AVEElizabethtown, KY 42701-1077
Mailing Address612 E Dixie AveElizabethtown, KY 42701-1077
Phone(270) 982-7378
Sole ProprietorNo
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1992452098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
612 E DIXIE AVE, Elizabethtown, KY 42701
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARIAH ALOYSIUS CASWELL
Peer Specialist
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 300-1351
MR. WALT MORGAN CLIVE
Peer Specialist
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (502) 994-5553
MR. WILLIAM B YOUNG CSA
Peer Specialist
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-9478
JAMES HERBERT THOMAS
Peer Specialist
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378
WESLEY BROWN
Peer Specialist
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378
PREMIER HOME CARE, INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-5800
JODIE MICHELLE WILLENBECHER
Case Manager/Care Coordinator
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378
MRS. RACHEL JEWELL LPCC
Counselor (Professional)
612 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378

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 Malcolm Matzdorff's NPI number?

The NPI number for Malcolm Matzdorff is 1992452098. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Malcolm Matzdorff located?

Malcolm Matzdorff practices at 612 E Dixie Ave, Elizabethtown, KY 42701. The listed phone number is (270) 982-7378.

What is Malcolm Matzdorff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Malcolm Matzdorff was last updated on March 8, 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.