Amanda Monee Mattke in Guadalupe - Psychologist
Amanda Monee Mattke - NPI 1063572196
Amanda Monee Mattke is a Psychologist in Guadalupe, Arizona. Amanda Monee Mattke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Amanda Monee Mattke is 1063572196. The last update date is 2007-07-08.
Amanda Monee Mattke's current location address is 8409 S Avenida Del Yaqui, Guadalupe, Arizona. You can contact this provider via phone number 4809876202 and fax number 4807770146. The mailing address for Amanda Monee Mattke is 8409 S Avenida Del Yaqui, Guadalupe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Monee Mattke |
|---|---|
| Address | 8409 S Avenida Del Yaqui, Guadalupe, Arizona |
| Phone Number | 4809876202 |
| Fax Number | 4807770146 |
| Sole Proprietor | Y |
| Credentials | PSYS |
NPI Number Detail
| NPI Number | 1063572196 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8409 S Avenida Del Yaqui |
|---|---|
| City | Guadalupe |
| State | Arizona (AZ) |
| Post Code | 852831027 |
| Phone Number | 4809876202 |
| Fax Number | 4807770146 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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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What is the Amanda Monee Mattke's unique identification number?
The Amanda Monee Mattke has been assigned the NPI (National Provider Identifier) Number 1063572196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Amanda Monee Mattke?
The Amanda Monee Mattke is physically situated at 8409 S Avenida Del Yaqui, in the city of Guadalupe, state of AZ, with the postal code 852831027.
What is Amanda Monee Mattke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amanda Monee Mattke's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date was the 1063572196 assigned to Amanda Monee Mattke?
The Amanda Monee Mattke was issued its 1063572196 on 2006-12-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Amanda Monee Mattke's information last updated?
The Amanda Monee Mattke's information was last updated on 2007-07-08.
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