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Individual
MATTHEW DEAN WILLIS
Active
Individual
MATTHEW DEAN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD13403
RI
2084P0800X
Psychiatry Physician
MD13403
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD13403
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13403
MEDICAL LICENSE
RI
Enumeration date
04/23/2007
Last updated
03/12/2026
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