Individual
DR. STEPHANE MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3120 BURNET AVE STE 304, CINCINNATI, OH 45229-3022
(513) 585-6663
(513) 585-7781
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P00794
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2024
Last updated
08/01/2024
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