Matto-Shepard, Jimmy Lee

Matto-Shepard, Jimmy Lee is an sole proprietor health care provider with primary practice located at 1 Bodega Ave Suite #4, Petaluma CA 94952-2666. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Matto-Shepard, Jimmy Lee can be contacted via phone (707) 762-1670.

Contact Information

Primary practice address
1 Bodega Ave Suite #4 Petaluma CA 94952-2666
Phone: (707) 762-1670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY15031 California

Profile Details

NPI number 1205036357
LBN Legal business name Matto-Shepard, Jimmy Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 2007 - about 18 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.

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