Organization
IRENE MATIATOS, PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE MATIATOS PHD (PSYCHOLOGIST)
(551) 206-3762
Entity
Organization
Contact information
Practice address
23 SILVER DARTER LN, BILTMORE LAKE, NC 28715-9526
(551) 206-3762
Mailing address
23 SILVER DARTER LN, BILTMORE LAKE, NC 28715-9526
(551) 206-3762
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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