Individual
DR. JOSHUA MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4211 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418-2695
(616) 222-3700
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017942
MI
103TC0700X
Clinical Psychologist
Primary
6301018991
MI
103TC0700X
Clinical Psychologist
6351004338
MI
Other
Enumeration date
08/05/2019
Last updated
05/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us