Individual
MATTHEW SEMLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
520 10TH AVE, CORALVILLE, IA 52241-1910
(319) 358-2406
Mailing address
817 TOWN COLONY DR, MIDDLETOWN, CT 06457-5908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043374A
IN
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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