Matel, Diane

Matel, Diane is an individual health care provider with primary practice located at 1045 W Glen Oaks Ln Ste 1 , Mequon WI 53092-3477. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Matel, Diane can be contacted via phone (262) 241-8100.

Contact Information

Primary practice address
1045 W Glen Oaks Ln Ste 1 Mequon WI 53092-3477
Phone: (262) 241-8100
Fax: (262) 241-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 442 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1831-057 Wisconsin
Behavioral Health & Social Service Providers / Family 103TF0000X 1838-057 Wisconsin
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1831-057 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 442-033 Wisconsin

Profile Details

NPI number 1366467235
LBN Legal business name Matel, Diane
Credentials APNP, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366467235 NPPES
Wisconsin MEDICAID 39401900

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