DINA MATIC


Address: 5350 Manhattan Cir Ste 210b, Boulder, CO 80303-4236
Phone: 7204321316

DINA MATIC (NPI# 1275941080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275941080
Entity Type Individual
Full Name DINA MATIC
Credential PH.D.
Practice Address 5350 Manhattan Cir Ste 210b
Boulder
CO 80303-4236
Practice Telephone 7204321316
Mailing Telephone 7204321316
Enumeration Date 2014-07-24
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3943 CO Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2249 Willard Loop Dr, Center for Community, S440, Boulder, CO 803090104 3037355889

Office Location

Street Address 5350 MANHATTAN CIR STE 210B
City BOULDER
State CO
Zip Code 80303-4236

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1356782676 Steven Michael Gioielli Psychologist 2500 30th St Ste 208, Boulder, CO 80301-1239 2013-07-15
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Competitor

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City BOULDER
Zip Code 80303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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