DR. MATTHEW DOLL (NPI# 1548390560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548390560 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DOLL |
| Credential | PH.D. |
| Practice Address |
40 Camelot Dr Fond Du Lac WI 54935-8049 |
| Mailing Address |
295 Sheboygan St Fond Du Lac WI 54935-4364 |
| Practice Telephone | 9209078201 |
| Mailing Telephone | 9209230082 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1691-057 | WI | Behavioral Health & Social Service Providers |
| Street Address |
40 CAMELOT DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-8049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639243710 | Patricia Ann O'hearn | Counselor | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2006-11-20 |
| 1700414489 | Heather A Beaudoin | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2020-03-30 |
| 1437791431 | Emily Connovich | Behavior Technician | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-10-10 |
| 1598314973 | Danyel Lynn Syms | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-09-09 |
| 1417517558 | Krista Schmitz | Behavior Technician | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-06-20 |
| 1346808185 | Makenna Mitchell | Behavioral Analyst | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-06-05 |
| 1174091888 | David Francione | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2018-11-12 |
| 1760902191 | Agnesian Healthcare Inc | Clinic/Center | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2017-06-27 |
| 1255704201 | Bryan Mischler | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2015-11-12 |
| 1841404258 | Elizabeth Scott Rogers-doll | Psychologist | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283810 | Troy William Sheide | Psychologist | 498 Ruggles St, Fond Du Lac, WI 54935-3931 | 2020-01-01 |
| 1629127766 | Patrick J Knowles | Psychologist | 418 Wilson Ave, Fond Du Lac, WI 54935-2852 | 2007-01-09 |
| 1477114304 | Leticia G Vallejo | Psychologist | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-06-21 |
| 1346775103 | Clare Lawlor | Psychologist | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2017-04-28 |
| 1699196923 | Emily Jo Schultz | Psychologist | 459 East First Street, Fond Du Lac, WI 54935 | 2014-01-06 |
| 1841404258 | Elizabeth Scott Rogers-doll | Psychologist | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2007-05-09 |
| 1548393580 | Sarah Arnold | Psychologist | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2007-03-13 |
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|---|---|---|---|---|
| 1881295863 | Emotive Action Counseling Services LLC | Psychologist | 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 | 2020-11-05 |
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| 1972124980 | Lake Geneva Psychology, Inc. | Psychologist | 630 Kenosha St, Walworth, WI 53184-9505 | 2020-04-30 |
| 1487283669 | Maria Gambaro | Psychologist | W4557 Gillette Dr, Montello, WI 53949-8951 | 2020-04-08 |
| 1871138115 | Point Counseling Center LLC | Psychologist | 1547 Strongs Ave Ste D, Stevens Point, WI 54481-3566 | 2019-11-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1023673563 | Robert E Young | Psychologist | 735 N Water St Ste 712, Milwaukee, WI 53202-4104 | 2019-05-09 |
| 1346705951 | Joseph John Abhold | Psychologist | 402 Graham Ave Ste 208, Eau Claire, WI 54701-2633 | 2019-02-07 |
| 1972075661 | Moonlight Psychotherapy and Psychological Services, LLC | Psychologist | 205 5th Ave S Ste 428, La Crosse, WI 54601-4059 | 2018-12-19 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on DR. MATTHEW DOLL.
| 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.