Matthew Reveis

NPI 1710161229 · on the registry since 2007 · sole proprietor

Practice

Address: 714 W Main St
Grass Valley, CA 95945
Phone: (530) 477-9800
Fax: (530) 477-9803
Organisation at this address: Charis Youth Center
Emq Children & Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 384

Registry record

Primary taxonomy: 322D00000X
322D00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California