Individual
DR. MATTIE PRESIDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1601 SW ARCHER RD # 116B, GAINESVILLE, FL 32608-1135
(335) 548-6020
(352) 379-4026
Mailing address
1601 SW ARCHER RD # 116B, GAINESVILLE, FL 32608-1135
(335) 548-6020
(352) 379-4026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10279
FL
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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