Dr. Matthew Wynn, Ph.D.
Psychologist, Clinical in Soledad, CA. Individual provider (NPI-1).
NPI number1063753226
StatusActive
Last updated in NPPESMar 12, 2013
Details
- NPI
- 1063753226
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Wynn
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2013
- Last updated
- Mar 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 22437 | CA | Yes |
Practice location
Highway 101 NCalifornia Correctional Facility Soledad
Soledad, CA 93960
Phone 831-678-3951
Mailing address
Po Box 48Marina, CA 93933-0048
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