Individual
DR. RYAN J MATTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6650 W STATE ST, SUITE 156, WAUWATOSA, WI 53213-2827
(414) 491-0854
Mailing address
6650 W STATE ST, SUITE 156, WAUWATOSA, WI 53213-2827
(414) 491-0854
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3229-57
WI
Other
Enumeration date
12/08/2014
Last updated
04/06/2017
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