Individual
MATTHEW M ZARANTONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8036 MOORSBRIDGE RD STE 2, PORTAGE, MI 49024-4417
(269) 327-1438
Mailing address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301006274
MI
103T00000X
Psychologist
6301006274
MI
103TC0700X
Clinical Psychologist
Primary
6301006274
MI
Other
Enumeration date
07/19/2006
Last updated
04/12/2023
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