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Individual

DR. MATTHEW W KRESSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1290 JORDAN ST, NORTH LIBERTY, IA 52317-8020
(319) 249-0307
(319) 358-2367
Mailing address
1290 JORDAN ST, NORTH LIBERTY, IA 52317-8020
(319) 249-0307
(319) 358-2367

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
001297
IA
103TC0700X
Clinical Psychologist
Primary
001297
IA
103TC2200X
Clinical Child & Adolescent Psychologist
001297
IA
103TC2200X
Clinical Child & Adolescent Psychologist
20042628A
IN

Other

Enumeration date
06/11/2012
Last updated
11/01/2023
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