Whalio Doctors

NPI 1447559760

Kyle G Matz, LMFT

Practitioner Marriage & Family Therapist Roseburg, OR

Practice location

Address
2713 W Harvard Ave STE 90, Roseburg, OR 97471-2600
Phone
(541) 430-2096
Fax
(541) 637-0849
Mailing address
PO Box 398, Roseburg, OR 97470-0101

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T0726 (OR)

Registry record

NPI
1447559760
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Mar 2011
Record last updated
13 Sep 2022

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.