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Contact Information

MATTHEW WYNN, PhD
HIGHWAY 101 N
CALIFORNIA CORRECTIONAL FACILITY SOLEDAD
SOLEDAD, CA93960
 Phone: 831-678-3951
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MATTHEW WYNN · (Male)

NPI # 1063753226
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/12/2013
Last updated 03/12/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 22437
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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