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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW WADE WICHT

Active Organization

MATTHEW WADE WICHT is a Community/Behavioral Health organization located in FLORISSANT, Missouri. NPI 1912180027 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · FLORISSANT, MO

Registration Details

NPI Number
1912180027
Provider Type
Organization
NPI Issued
Dec 12, 2007 (18.702370866163 yrs)
Last Updated
Jul 30, 2008
Licenses
2001014011 (MO)
1035 (MS)
1035 (MS)
2001014011 (MO)

Practice Information

Address
2222 N US HIGHWAY 67
FLORISSANT, MO, 630332032
Browse MO providers · Browse ZIP 63033
Phone
3148312225
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Case Management Agency
Additional Specialty
Community/Behavioral Health
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.