Individual
MS. GINA MARIE DEMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1821 WHITE AVE, LINCOLN PARK, MI 48146-2254
(313) 773-2305
Mailing address
1821 WHITE AVE, LINCOLN PARK, MI 48146-2254
(313) 773-2305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007916
MI
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
02/02/2026
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