Individual
DR. MATTHEW AL THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
602 E UINTAH ST, COLORADO SPRINGS, CO 80903-2539
(719) 651-3775
Mailing address
602 E UINTAH ST, COLORADO SPRINGS, CO 80903-2539
(719) 651-3775
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004060
CO
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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