Search › Michigan › 163W00000X
Mattea Span
NPI 1891434882 · on the registry since 2022 · sole proprietor
Practice
- Address
- 715 Pyle Dr
Kingsford, MI 49802 - Phone
- (906) 774-0522
- Fax
- (906) 774-1570
- Organisation at this address
- Northpointe Behavioral Healthcare System
Northpointe Behavioral Healthcare SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 108
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WG0600X
- Licence states on file
- WI, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan