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Contact Information

MATTHEW M CARBONELLI, PHD
2311 N PROSPECT AVE
MILWAUKEE, WI53211-4445
 Phone: 715-390-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for MATTHEW M CARBONELLI · (Male)

NPI Number 1396259818
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/20/2017
Last updated 09/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4158
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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