institution
Shelley Boehm Mattia Md,adult Psychiatry, Llc
Adult Mental Health Clinic/Center in Green Bay, Wisconsin
NPI 1427410992

Shelley Boehm Mattia Md,adult Psychiatry, Llc is an Adult Mental Health Clinic/Center based in Green Bay, WI and is specialized in Adult Mental Health. Shelley Boehm Mattia Md,adult Psychiatry, Llc practices in Green Bay, WI. The NPI Number for Shelley Boehm Mattia Md,adult Psychiatry, Llc is 1427410992 and holds a License No. 39641 (Wisconsin).

The current practice location address for Shelley Boehm Mattia Md,adult Psychiatry, Llc is 428 Doty St, Green Bay, WI and can be reached out via phone at 920-965-6768 and via fax at 920-965-6769. You can also correspond with Shelley Boehm Mattia Md,adult Psychiatry, Llc through the mailing address at 428 DOTY ST, GREEN BAY, WI - 54301-4509 (mailing address contact number: 920-965-6768).

Location: 428 Doty St, Green Bay, WI, 54301-4509
institution
Provider Profile Details
NPI Number
1427410992
Provider Name
Shelley Boehm Mattia Md,adult Psychiatry, Llc
Credential
Provider Entity Type
Organization
Address
428 Doty St, Green Bay, WI, 54301-4509
Phone Number
920-965-6768
Fax Number
920-965-6769
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32453500 05 WI
institution
Provider Business Practice Location Address Details
Address
428 Doty St
City
State
Zip
54301-4509
Phone Number
920-965-6768
Fax Number
920-965-6769
person
Provider Business Mailing Address Details
Address
428 Doty St
City
State
Zip
54301-4509
Phone Number
920-965-6768
Fax Number
920-965-6769
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
39641 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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