Individual
DIANE MATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PHD
Contact information
Practice address
1045 W GLEN OAKS LN STE 1, MEQUON, WI 53092-3477
(262) 241-8100
(262) 241-8200
Mailing address
1045 W GLEN OAKS LN STE 1, MEQUON, WI 53092-3477
(262) 241-8100
(262) 241-8200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1831-057
WI
103T00000X
Psychologist
—
—
103TF0000X
Family Psychologist
1838-057
WI
103TH0100X
Health Service Psychologist
1831-057
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
442
WI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
442-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39401900
—
WI
Enumeration date
07/13/2006
Last updated
09/13/2021
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