Individual
DR. MATTHEW D DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
40 CAMELOT DR, FOND DU LAC, WI 54935-8049
(920) 907-8201
Mailing address
295 SHEBOYGAN ST, FOND DU LAC, WI 54935-4364
(920) 923-0082
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1691-057
WI
Other
Enumeration date
03/07/2007
Last updated
12/23/2020
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