Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY BOEHM MATTIA, M.D.
Active Sole ProprietorSHELLEY BOEHM MATTIA, M.D. is a Psychiatry healthcare provider located in WAUNAKEE, Wisconsin. NPI 1073662938 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · WAUNAKEE, WI
Registration Details
- NPI Number
- 1073662938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2007 (19.617920090764 yrs)
- Last Updated
- Nov 29, 2023
- License
-
39641 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4845 MORRIS CTWAUNAKEE, WI, 535979164Browse WI providers · Browse ZIP 53597
- Phone
- 9209656768
- Fax
- 9209656769
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Adult Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.