Individual
DR. MATTHEW L. WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7330 WOODMONT AVE, BETHESDA, MD 20814-5354
(301) 652-3880
Mailing address
8003 WHITTIER BLVD, BETHESDA, MD 20817-3120
(301) 652-3880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04448
MD
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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