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MATTHEW MICHAEL KRIDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
997 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912-2613
(706) 721-6719
Mailing address
997 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912-2613
(706) 721-6597

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
PSY004537
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/22/2019
Last updated
09/22/2021
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