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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK E MATTESON, M.D.

Active

JACK E MATTESON, M.D. is a Psychiatry healthcare provider located in JEFFERSON CITY, Missouri. NPI 1326218413 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · JEFFERSON CITY, MO

Registration Details

NPI Number
1326218413
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2008 (18.479604433883 yrs)
Last Updated
Dec 15, 2010
Licenses
2007037859 (MO)
2007037859 (MO)

Practice Information

Address
1026 NORTHEAST DR
STE E
JEFFERSON CITY, MO, 651092517
Browse MO providers · Browse ZIP 65109
Phone
5736353850
Fax
5736351558
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatric Neurology

Other Psychiatry Providers in JEFFERSON CITY, MO

Name Credential NPI
JAVED AKHTER CHOUDHRY MD 1659357184
DR. JOHN W CLEMENS M.D. 1285676338
JOHN C LYSKOWSKI M.D. 1558372912
DR. COLLEEN TERESA LOEHR M.D. 1073689337
DR. DEBORAH B. KRAUSE D.O. 1962568550
DR. GAURAV ASHOK KULKARNI M.D. 1962714162
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.