Diane Matel in Mequon - Health Service

Diane Matel - NPI 1366467235

Diane Matel is a Health Service in Mequon, Wisconsin. Diane Matel practices all healthcare services and medical treatments related to Health Service. The NPI Number for Diane Matel is 1366467235. The last update date is 2021-09-13.

Diane Matel's current location address is 1045 W Glen Oaks Ln Ste 1, Mequon, Wisconsin. You can contact this provider via phone number 2622418100 and fax number 2622418200. The mailing address for Diane Matel is 1045 W Glen Oaks Ln Ste 1, Mequon, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Matel
Address 1045 W Glen Oaks Ln Ste 1, Mequon, Wisconsin
Phone Number 2622418100
Fax Number 2622418200
Sole Proprietor N
Credentials APNP, PHD

NPI Number Detail

NPI Number 1366467235
Provider Enumeration Date 2006-07-13
Last Updated Date 2021-09-13

Provider Mailing Address Detail

Address 1045 W Glen Oaks Ln Ste 1
City Mequon
State Wisconsin (WI)
Post Code 530923477
Phone Number 2622418100
Fax Number 2622418200

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 1831-057
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39401900 WI --

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FAQs about Diane Matel

What is the Diane Matel's unique identification number?

The Diane Matel has been assigned the NPI (National Provider Identifier) Number 1366467235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Diane Matel is physically located?

The Diane Matel is situated at the following address: 1045 W Glen Oaks Ln Ste 1, Mequon, WI 530923477.

What is Diane Matel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Diane Matel is Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.

On what date did Diane Matel receive its 1366467235 assignment from the Centers for Medicare & Medicaid Services?

The Diane Matel was assigned its 1366467235 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Diane Matel most recently updated or revised?

The information pertaining to Diane Matel, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-13.

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