MATTHEW ALEXANDER THIBEAULT

GREENSBORO, NC
NPI1881027720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NC  4718)
Enumeration Date2013-08-14
Last Update Date2016-05-23
Business Address
-- MATTHEW ALEXANDER THIBEAULT
1100 W MARKET ST UNCG PSYCHOLOGY CLINIC
GREENSBORO, NC 27403-1830
Phone number: 336-224-5662
Mailing Address
-- MATTHEW ALEXANDER THIBEAULT
PO BOX 26170
GREENSBORO, NC 27402-6170
Phone number: 336-334-5662