Individual
MATTHEW P NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(573) 364-7551
(573) 364-4898
Mailing address
20364 HIGHWAY 28 W, DIXON, MO 65459-8429
(573) 528-7884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004005475
MO
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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