Individual
MR. MATTHEW MICHAEL CARBONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(715) 390-3000
Mailing address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(715) 390-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
4158
WI
Other
Enumeration date
11/20/2017
Last updated
09/04/2023
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