Individual
JUDITH MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
345 SANTA FE DR, ENCINITAS, CA 92024-5132
(858) 793-2613
Mailing address
1298 LONGFELLOW RD, VISTA, CA 92081-9064
(760) 599-3877
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075737
MHN PROVIDER NUMBER
CA
Enumeration date
08/17/2006
Last updated
12/26/2017
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