Kelly M Gustavson-Matte in Elkhorn - Psychologist
Kelly M Gustavson-Matte - NPI 1750471314
Kelly M Gustavson-Matte is a Psychologist in Elkhorn, Wisconsin. Kelly M Gustavson-Matte practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kelly M Gustavson-Matte is 1750471314. The last update date is 2023-08-28.
Kelly M Gustavson-Matte's current location address is Po Box 1005, Elkhorn, Wisconsin. You can contact this provider via phone number 2627413200 and fax number 2627413217. The mailing address for Kelly M Gustavson-Matte is Po Box 1005, Elkhorn, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Gustavson-Matte |
|---|---|
| Address | Po Box 1005, Elkhorn, Wisconsin |
| Phone Number | 2627413200 |
| Fax Number | 2627413217 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1750471314 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2023-08-28 |
Provider Mailing Address Detail
| Address | Po Box 1005 |
|---|---|
| City | Elkhorn |
| State | Wisconsin (WI) |
| Post Code | 531211005 |
| Phone Number | 2627413200 |
| Fax Number | 2627413217 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2533-057 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40938700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly M Gustavson-Matte by the Centers for Medicare & Medicaid Services?
The Kelly M Gustavson-Matte has been issued the NPI (National Provider Identifier) 1750471314 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kelly M Gustavson-Matte?
The Kelly M Gustavson-Matte is physically situated at Po Box 1005, in the city of Elkhorn, state of WI, with the postal code 531211005.
What is Kelly M Gustavson-Matte's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly M Gustavson-Matte is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750471314 to Kelly M Gustavson-Matte?
The Centers for Medicare & Medicaid Services originally issued the 1750471314 to Kelly M Gustavson-Matte on 2006-10-13.
When was the information related to Kelly M Gustavson-Matte most recently updated or refreshed?
The details pertaining to the Kelly M Gustavson-Matte, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-28.
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