JIMMY LEE MATTO-SHEPARD PH.D.
NPI 1205036357
Psychologist in Petaluma, CA
About Jimmy Lee Matto-shepard Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMMY LEE MATTO-SHEPARD PH.D. (NPI 1205036357) is an individual psychologist in Petaluma, California, licensed in California (PSY15031) and active in the NPI registry since July 2007.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jimmy Matto-shepard's NPI number?
The NPI number for Jimmy Matto-shepard is 1205036357. It was assigned to this individual provider in the NPPES registry on July 18, 2007.
Where is Jimmy Matto-shepard located?
Jimmy Matto-shepard practices at 1 Bodega Ave Suite #4, Petaluma, CA 94952. The listed phone number is (707) 762-1670.
What is Jimmy Matto-shepard's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Jimmy Matto-shepard was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.