Individual provider · Type 1 NPI

Matthew Thomas Wynne

Mental Health Counselor · Redwood City, CA

NPI number 1043822463 Active

Practice location

200 Edmonds Rd
Redwood City, CA 94062-3813

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043822463

Matthew Thomas Wynne's National Provider Identifier is 1043822463, issued on Aug 18, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redwood City, CA. The record was last updated on Aug 18, 2020.