Individual
DR. BORIS MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6320 MONONA DR, MONONA, WI 53716-3952
(608) 217-5184
Mailing address
701 LEWIS CT, SUN PRAIRIE, WI 53590-1305
(608) 217-5184
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
1656-123
WI
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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