NPI 1073790416

Michelle R Matzke, PSYD

Practitioner Psychologist Powell, WY

Practice location

Address: 227 N Bent St STE K, Powell, WY 82435-2335
Phone: (406) 219-1477
Fax: (888) 929-8661
Mailing address: PO Box 1200, Powell, WY 82435-1200

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1953 (MT)

Other Psychologist providers in Wyoming →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 750 (WY)

Clinical Child & Adolescent Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 6919 (OH)

Registry record

NPI: 1073790416
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2008
Record last updated: 29 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.