Whalio Doctors

NPI 1417039918

Susan Oleta Mattocks, PSYD

Practitioner Clinical Psychologist Miles City, MT

Practice location

Address
2600 Wilson St Suite 2, Miles City, MT 59301-5094
Phone
(406) 233-4219
Fax
(406) 233-2503

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 363 (MT)

Registry record

NPI
1417039918
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Oct 2006
Record last updated
8 Jul 2007

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.