Individual
MATSEN GWYN HARTSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1068 W 4TH ST, WINSTON SALEM, NC 27101-2437
(336) 283-6081
Mailing address
4585 HENNINGS DR, COLORADO SPRINGS, CO 80911-3225
(336) 409-3916
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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