Individual
STEPHEN L. MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8719
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036908A
IN
2084P0805X
Geriatric Psychiatry Physician
01036908A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132400
—
IN
Enumeration date
02/12/2006
Last updated
09/29/2022
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