Matel, Diane
Matel, Diane is an individual health care provider with primary practice located at 1045 W Glen Oaks Ln Ste 1 , Mequon WI 53092-3477. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Matel, Diane can be contacted via phone (262) 241-8100.Contact Information
Primary practice address
1045 W Glen Oaks Ln Ste 1
Mequon WI 53092-3477
Phone: (262) 241-8100
Fax: (262) 241-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 442 | Wisconsin |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1831-057 | Wisconsin |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 1838-057 | Wisconsin |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 1831-057 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 442-033 | Wisconsin |
Profile Details
| NPI number | 1366467235 |
|---|---|
| LBN Legal business name | Matel, Diane |
| Credentials | APNP, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Sep 13th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366467235 | NPPES |
| Wisconsin | MEDICAID | 39401900 |
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