Individual
MICHAEL MATOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHDCAN
Contact information
Practice address
7411 SANDCASTLE DR, ELLENTON, FL 34222-3863
(941) 961-0099
Mailing address
7411 SANDCASTLE DR, ELLENTON, FL 34222-3863
(941) 961-0099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008214
MI
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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