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1972929487
BRIAN MATTINGLY
KERNERSVILLE, NC
NPI
1972929487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005599)
Enumeration Date
2014-03-07
Last Update Date
2017-01-11
Business Address
Dr. BRIAN MATTINGLY PsyD
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284-7159
Phone number: 336-515-5000
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Mailing Address
Dr. BRIAN MATTINGLY PsyD
513 GREAT PARK DR
NEWPORT NEWS, VA 23608-2033
Phone number: 757-871-7773
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