Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY JOHN MATYSIK, LPC, CSAC, PHD
Active Sole ProprietorDR. GREGORY JOHN MATYSIK, LPC, CSAC, PHD is a Substance Abuse Rehabilitation Facility healthcare provider located in MONONA, Wisconsin. NPI 1407170814 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MONONA, WI
Registration Details
- NPI Number
- 1407170814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2010 (16.372407155191 yrs)
- Last Updated
- Mar 15, 2010
- Licenses
-
3847 125 (WI)15307 132 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 FEMRITE DRMONONA, WI, 537163716Browse WI providers · Browse ZIP 53716
- Phone
- 6082227311
- Fax
- 6082220453
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
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.