Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMMY MATVICHUK
Active Sole ProprietorTAMMY MATVICHUK is a Psychologist healthcare provider located in KENTWOOD, Michigan. NPI 1871384339 is currently active in the NPPES registry. Verify at CMS.
Psychologist · KENTWOOD, MI
Registration Details
- NPI Number
- 1871384339
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- May 14, 2025 (1.2090537359964 yrs)
- Last Updated
- May 27, 2025
- License
-
6362010012 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3230 BROADMOOR AVE SE STE DKENTWOOD, MI, 495128180Browse MI providers · Browse ZIP 49512
- Phone
- 6168214211
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in KENTWOOD, MI
| Name | Credential | NPI |
|---|---|---|
| JANELLE HART | — | 1770995706 |
| KATHERINE G PASTOOR | MA, LLP | 1770129009 |
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.