Individual
DR. CHRISTINE MATHIOWETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404
(612) 220-6753
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
LP6178
MN
Other
Enumeration date
09/20/2017
Last updated
08/08/2019
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