Individual
JOSHUA MATYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4242 FARNAM ST, OMAHA, NE 68131-2806
(402) 552-6094
(402) 552-7701
Mailing address
988425 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8425
(402) 552-6094
(402) 552-7701
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1121
NE
103TC0700X
Clinical Psychologist
1121
NE
103TH0100X
Health Service Psychologist
1121
NE
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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