SHELLEY BOEHM MATTIA MDADULT PSYCHIATRY LLC NPI 1427410992

NPI Information

SHELLEY BOEHM MATTIA MD,ADULT PSYCHIATRY, LLC is an adult mental health clinic center in Green Bay, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SHELLEY BOEHM MATTIA MD,ADULT PSYCHIATRY, LLC NPI is 1427410992. The provider is registered as an organization entity type.

The provider's business location address is:

428 DOTY ST
GREEN BAY, WI
ZIP 54301-509
Phone: (920) 965-6768
Fax: (920) 965-6769

The provider's authorized official is Shelley Kathryn Boehm Mattia .
The authorized official title is Licensed Physician and has the following contact phone number (920) 246-4925.

The enumeration date for this NPI number is 3/24/2016 and was last updated on 10/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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