Individual
STEPHEN MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2525 W UNIVERSITY AVE STE 401, MUNCIE, IN 47303-3433
(765) 747-4306
Mailing address
2525 W UNIVERSITY AVE STE 401, MUNCIE, IN 47303-3433
(765) 747-4306
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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