Individual
MATTHEW WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 EAST SECOND STREET, DULUTH, MN 55805-1913
(218) 786-5360
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5641
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891957890
—
MN
05
—
1891957890
—
WI
Enumeration date
06/30/2008
Last updated
10/17/2018
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