MR. MATTHEW DAVID WICKSTROM
NPI 1801040878
Psychologist - School in Scottsdale, AZ
About Mr. Matthew David Wickstrom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW DAVID WICKSTROM (NPI 1801040878) is an individual school provider in Scottsdale, Arizona, licensed in Arizona (4058847) and active in the NPI registry since November 2008.
NPPES Registry Identity
Specialties & Licenses
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 Matthew Wickstrom's NPI number?
The NPI number for Matthew Wickstrom is 1801040878. It was assigned to this individual provider in the NPPES registry on November 4, 2008.
Where is Matthew Wickstrom located?
Matthew Wickstrom practices at 27880 N 64th Street, Scottsdale, AZ 85262. The listed phone number is (480) 202-8454.
What is Matthew Wickstrom's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Matthew Wickstrom was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.