Michael Matouk, PHDCAN

NPI #1255174090 in Ellenton, Florida

Provider Information

NPI Number: 1255174090
Entity Type: Individual
Name: Michael Matouk, PHDCAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHDCAN
Enumeration Date: Jun 18, 2024
Last Updated: Jun 18, 2024

Practice Location

Address: 7411 SANDCASTLE DR
City: Ellenton
State: Florida
ZIP Code: 34222-3863
Phone: (941) 961-0099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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