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Individual

DR. MICHELLE R MATZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
227 N BENT ST STE K, POWELL, WY 82435-2335
(406) 219-1477
(888) 929-8661
Mailing address
PO BOX 1200, POWELL, WY 82435-1200
(406) 219-1477
(888) 929-8661

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1953
MT
103T00000X
Psychologist
750
WY
103TC2200X
Clinical Child & Adolescent Psychologist
6919
OH

Other

Enumeration date
01/29/2008
Last updated
10/29/2024
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